Effectiveness of sacral massage during labor in pregnant women: A systematic review and meta-analysis

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-01 DOI:10.1016/j.midw.2024.104252

Somayeh Makvandi , Zahra Hadizadeh-Talasaz , Seyedeh Fatemeh Nosrati Hadi Abad , Elham Manouchehri , Mona Larki

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引用次数: 0

Abstract

Background and aim

Performing sacral massage during the childbirth process can provide numerous benefits due to its potential to alleviate stress and exhaustion. This systematic review and meta-analysis aimed to assess the effectiveness of sacral massage in pregnant women during labor.

Method

A comprehensive search was conducted in main databases from inception to 18th May 2024. The quality of included randomized control trials (RCTs) and quasi-experimental studies was assessed using the Jadad Scale and the Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS), respectively. All analyses were performed using the RevMan version 5.3. The GRADEpro GDT tool was utilized to determine the level of certainty of the evidence.

Findings

Nine articles were included in the systematic review and eight studies were included in the meta-analysis. The findings showed that in the sacral massage group, the labor pain intensity was significantly decreased (SMD= -2.40, 95 % CI -3. 5 to -1.29, p < 0.0001, I² = 97 %). The findings also showed that sacral massage does not significantly alter the length of the first labor stage (MD=-0.04, 95 % CI -0.27 to 0.20, p = 0.77, I² = 0 %) and the total duration of labor (MD= -0.56, 95 % CI -1.66, 0.55, p = 0.32, I² = 90 %). The certainty of evidence for labor pain was moderate and for duration of the first stage and total duration of labor were very low.

Conclusion

This study demonstrated that sacral massage was an effective, non-pharmacologic method that significantly alleviating pain in women during childbirth. As a result, this intervention can be implemented in clinical settings during labor.

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孕妇分娩时骶骨按摩的效果：系统回顾和荟萃分析。

背景和目的：在分娩过程中进行骶骨按摩可以缓解压力和疲惫，因此好处多多。本系统综述和荟萃分析旨在评估骶骨按摩在孕妇分娩过程中的有效性：方法：从开始到 2024 年 5 月 18 日，在主要数据库中进行了全面检索。纳入的随机对照试验（RCT）和准实验研究的质量分别使用Jadad量表和非随机研究偏倚风险评估工具（RoBANS）进行评估。所有分析均使用 RevMan 5.3 版进行。使用 GRADEpro GDT 工具确定证据的确定性：9篇文章被纳入系统综述，8项研究被纳入荟萃分析。研究结果表明，骶骨按摩组的分娩疼痛强度明显降低（SMD= -2.40，95 % CI -3.5至-1.29，pConclusion）：本研究表明，骶骨按摩是一种有效的非药物方法，能明显减轻产妇分娩时的疼痛。因此，这种干预措施可以在临床分娩中实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.