[浸水对分娩期间使用硬膜外麻醉的影响]。

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-07-01 DOI:10.1016/j.gofs.2024.01.016

Nesrine Kacha , Gwendoline Dorel , Paul Frappé , Céline Chauleur , Tiphaine Raia-Barjat

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引用次数: 0

摘要

目的：在分娩过程中浸泡在水中可减少分娩时的疼痛和硬膜外麻醉的使用。本研究的主要目的是评估在助产士护理环境中，分娩时浸泡在水中对使用硬膜外麻醉的影响：我们对2020年10月至2022年12月期间在圣埃蒂安大学医院生理病房分娩的所有产妇进行了一项单中心回顾性研究：研究未发现浸泡组和对照组在硬膜外麻醉的使用方面存在差异（P = 0.49）。浸泡组中产程超过 6 小时的产妇人数多于对照组。根据胎次和产程调整后进行的多变量分析未发现两组之间存在差异（OR 0.58；95% CI [0.30；1.09]）：尽管浸泡在水中似乎不会改变硬膜外麻醉的使用，但也不会增加产妇和新生儿的发病率和死亡率。对于希望在不使用硬膜外麻醉的情况下分娩的孕妇来说，这是一种成本合理的替代治疗方法。

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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Influence de l’immersion dans l’eau sur le recours à la péridurale pendant le travail

Objective

Immersion in water during labor could reduce pain and use of epidural anesthesia during childbirth. The main objective of this study was to evaluate the influence of immersion in water during labor on the use of epidural anesthesia in a midwife care setting.

Methods

We conducted a single-center retrospective study of all women who gave birth in the physiological ward of Saint-Étienne University Hospital between October 2020 and December 2022.

Results

The study did not find difference between immersion group and control group concerning the use of epidural anesthesia (P = 0.49). The immersion group counted more women with a duration of labor greater than 6 hours than in the control group. The multivariate analysis adjusted for parity and duration of labor did not find difference between both groups [OR 0.58; 95% CI (0.30; 1.09)].

Conclusion

Even if it does not seem to modify the use of epidurals, immersion in water does not seem to increase maternal and neonatal morbidity and mortality. It represents a therapeutic alternative with reasonable cost to offer for pregnant women who wish to give birth without epidural anesthesia.

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来源期刊

Gynecologie Obstetrique Fertilite & Senologie Medicine-Obstetrics and Gynecology

CiteScore

1.70

自引率

0.00%

发文量

170

期刊介绍： Gynécologie Obstétrique Fertilité & Sénologie est un mensuel scientifique d''information et de formation destiné aux gynécologues, aux obstétriciens, aux sénologues et aux biologistes de la reproduction. La revue, dans ses éditoriaux, articles originaux, mises au point, lettres à la rédaction et autres rubriques, donne une information actualisée ayant trait à l''obstétrique et à la gynécologie et aux différentes spécialités développées à partir de ces deux pôles : médecine de la reproduction, médecine maternelle et fœtale, périnatalité, endocrinologie, chirurgie gynécologique, cancérologie pelvienne, sénologie, sexualité, psychosomatique…