Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery

IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Yan-Qing Chen, Zhao-Wei Wang, Hai-Chao Liu, Jiao Wu, Jun-Zhong Qin, Ju-Hui Li, Dong-Qing Wu, Hui-Yu Jiang
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Abstract

A prolonged second stage of vaginal delivery increases the risk of shoulder dystocia, unnecessary episiotomies and cesarean sections. However, no standardized method has been proposed to tackle this issue. The effects of pelvic floor myofascial manipulation intervention during the second stage of labor in primiparas and its prognostic value in neonatal postpartum outcomes remain unknown. In the present study, a total of 60 primiparas who were expecting a vaginal delivery in the Second Affiliated Hospital of Hainan Medical College (Haikou, China) between October 2021 and January 2022 were selected. These women were randomly assigned to a control group (standard intrapartum care) or an experimental group (pelvic floor myofascial manipulation for 15‑20 min during the second stage of labor along with standard intrapartum care) using a random number table, with 28 patients in each group. There was no significant difference in age, gestational time or body mass index between the two groups before delivery, indicating that the baseline data were comparable. The second stage of labor duration, forced breath‑holding time and postpartum hemorrhage volume in the experimental group were significantly lower than those in the control group. The pain visual analog scale scores, fatigue scores and neonatal Apgar scores in the experimental group were also significantly lower than those in the control group. The rate of episiotomy in the experimental group was lower than that in the control group, but the difference was not statistically significant. In conclusion, pelvic floor myofascial manipulation intervention during the second stage of labor for primiparas with vaginal delivery can reduce the duration of the second stage of labor, the amount of bleeding during labor and the pain during labor. Meanwhile, it has the potential to improve neonatal outcomes.
盆底肌筋膜干预对阴道分娩第二阶段初产妇和新生儿的影响
第二阶段阴道分娩延长会增加肩部难产、不必要的外阴切开术和剖宫产的风险。然而,没有提出标准化的方法来解决这个问题。初产妇产程第二阶段盆底肌筋膜操作干预的效果及其对新生儿产后预后的影响尚不清楚。本研究选取2021年10月至2022年1月在海南医学院第二附属医院(中国海口)阴道分娩的初产妇60例。使用随机数字表将这些妇女随机分配到对照组(标准产时护理)或实验组(在分娩第二阶段进行骨盆底肌筋膜操作15 - 20分钟并进行标准产时护理),每组28例患者。两组分娩前的年龄、妊娠时间和体重指数均无显著差异,表明基线数据具有可比性。实验组第二产程、强迫屏气时间、产后出血量均显著低于对照组。实验组的疼痛视觉模拟量表评分、疲劳评分和新生儿Apgar评分均显著低于对照组。实验组的会阴切开率低于对照组,但差异无统计学意义。综上所述,阴道分娩的初产妇在第二产程进行盆底肌筋膜操作干预,可以缩短第二产程时间,减少产程出血量,减轻产程疼痛。同时,它有可能改善新生儿的结局。
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来源期刊
Experimental and therapeutic medicine
Experimental and therapeutic medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
1.50
自引率
0.00%
发文量
570
审稿时长
1 months
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