Chalana Duarte de Sena Fraga, Rodrigo Cappato de Araújo, Layane de Sá, Ana Julia Santos Bertoldo, Ana Carolina Rodarti Pitangui
{"title":"在产妇中使用花生球、定位和骨盆活动可缩短产程并提高产妇对分娩的满意度：随机试验。","authors":"Chalana Duarte de Sena Fraga, Rodrigo Cappato de Araújo, Layane de Sá, Ana Julia Santos Bertoldo, Ana Carolina Rodarti Pitangui","doi":"10.1016/j.jphys.2024.02.017","DOIUrl":null,"url":null,"abstract":"<div><h3>Question</h3><p>What is the effect of a protocol targeted at the various stages of labour – with a peanut ball, positioning and pelvic mobility – on the duration of labour, pain severity, fatigue, maternal outcomes, neonatal outcomes and satisfaction in parturients without analgesia?</p></div><div><h3>Design</h3><p>A randomised trial with concealed allocation, blinding of assessors and intention-to-treat analysis.</p></div><div><h3>Participants</h3><p>One hundred women in active labour.</p></div><div><h3>Intervention</h3><p>The experimental group received the protocol targeted at the various stages of labour, with a peanut ball, positioning and pelvic mobility, whilst the control group received usual care.</p></div><div><h3>Outcome measures</h3><p>The primary outcomes were the duration of labour and pain severity. The secondary outcomes were maternal fatigue, mode of delivery, risk of perineal laceration, severity of perineal laceration, use of synthetic oxytocin, satisfaction with delivery, Apgar scores, admission of the neonate to an intensive care unit and resuscitation of the neonate in the delivery room. In the active phase of labour, the numerical rating scale and maternal perception of childbirth fatigue questionnaire were applied; they were taken again when the parturient had 8 to 10 cm of dilation. The numerical rating scale was also applied postpartum to evaluate satisfaction with childbirth.</p></div><div><h3>Results</h3><p>The use of the protocol with a peanut ball reduced the duration of active and expulsive phases and the total duration of labour, with mean differences of 82 minutes (95% CI 41 to 125), 8 minutes (95% CI 0 to 18) and 89 minutes (95% CI 45 to 132), respectively. Maternal satisfaction was better in the experimental group: mean between-group difference on the 10-point scale was 1.1 (95% CI 0.4 to 1.8). The effects on the other outcomes were either similar between groups or unclear.</p></div><div><h3>Conclusion</h3><p>A protocol with a peanut ball, positioning and pelvic mobility reduced the duration of labour and improved maternal satisfaction with childbirth.</p></div><div><h3>Registration</h3><p>RBR-74wcnjc.</p></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 2","pages":"Pages 134-141"},"PeriodicalIF":9.7000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000183/pdfft?md5=166092a85505f16f054001e93ccd018f&pid=1-s2.0-S1836955324000183-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Use of a peanut ball, positioning and pelvic mobility in parturient women shortens labour and improves maternal satisfaction with childbirth: a randomised trial\",\"authors\":\"Chalana Duarte de Sena Fraga, Rodrigo Cappato de Araújo, Layane de Sá, Ana Julia Santos Bertoldo, Ana Carolina Rodarti Pitangui\",\"doi\":\"10.1016/j.jphys.2024.02.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Question</h3><p>What is the effect of a protocol targeted at the various stages of labour – with a peanut ball, positioning and pelvic mobility – on the duration of labour, pain severity, fatigue, maternal outcomes, neonatal outcomes and satisfaction in parturients without analgesia?</p></div><div><h3>Design</h3><p>A randomised trial with concealed allocation, blinding of assessors and intention-to-treat analysis.</p></div><div><h3>Participants</h3><p>One hundred women in active labour.</p></div><div><h3>Intervention</h3><p>The experimental group received the protocol targeted at the various stages of labour, with a peanut ball, positioning and pelvic mobility, whilst the control group received usual care.</p></div><div><h3>Outcome measures</h3><p>The primary outcomes were the duration of labour and pain severity. 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引用次数: 0
摘要
问题针对分娩各阶段的方案--花生球、体位和骨盆活动--对未使用镇痛剂的产妇的产程、疼痛严重程度、疲劳、产妇预后、新生儿预后和满意度有何影响？参与者：100 名活跃产妇：干预措施：干预措施：实验组接受针对不同分娩阶段的方案，包括花生球、体位和骨盆活动，对照组接受常规护理：主要结果是分娩持续时间和疼痛严重程度。次要结果为产妇疲劳程度、分娩方式、会阴裂伤风险、会阴裂伤严重程度、合成催产素的使用、分娩满意度、阿普加评分、新生儿入住重症监护室和产房新生儿复苏。在分娩活跃期，采用了数字评分量表和产妇分娩疲劳感问卷；在产妇宫口扩张 8 至 10 厘米时，再次采用了数字评分量表和产妇分娩疲劳感问卷。产后还采用了数字评分表来评估分娩满意度：结果：使用带花生球的方案缩短了活跃期、宫缩期和总产程的时间，平均差异分别为 82 分钟（95% CI 41 至 125）、8 分钟（95% CI 0 至 18）和 89 分钟（95% CI 45 至 132）。实验组的产妇满意度更高：10 分制的组间平均差异为 1.1（95% CI 0.4 至 1.8）。实验组对其他结果的影响要么相似，要么不明确：结论：使用花生球、定位和骨盆活动的方案缩短了产程，提高了产妇对分娩的满意度：RBR-74wcnjc.
Use of a peanut ball, positioning and pelvic mobility in parturient women shortens labour and improves maternal satisfaction with childbirth: a randomised trial
Question
What is the effect of a protocol targeted at the various stages of labour – with a peanut ball, positioning and pelvic mobility – on the duration of labour, pain severity, fatigue, maternal outcomes, neonatal outcomes and satisfaction in parturients without analgesia?
Design
A randomised trial with concealed allocation, blinding of assessors and intention-to-treat analysis.
Participants
One hundred women in active labour.
Intervention
The experimental group received the protocol targeted at the various stages of labour, with a peanut ball, positioning and pelvic mobility, whilst the control group received usual care.
Outcome measures
The primary outcomes were the duration of labour and pain severity. The secondary outcomes were maternal fatigue, mode of delivery, risk of perineal laceration, severity of perineal laceration, use of synthetic oxytocin, satisfaction with delivery, Apgar scores, admission of the neonate to an intensive care unit and resuscitation of the neonate in the delivery room. In the active phase of labour, the numerical rating scale and maternal perception of childbirth fatigue questionnaire were applied; they were taken again when the parturient had 8 to 10 cm of dilation. The numerical rating scale was also applied postpartum to evaluate satisfaction with childbirth.
Results
The use of the protocol with a peanut ball reduced the duration of active and expulsive phases and the total duration of labour, with mean differences of 82 minutes (95% CI 41 to 125), 8 minutes (95% CI 0 to 18) and 89 minutes (95% CI 45 to 132), respectively. Maternal satisfaction was better in the experimental group: mean between-group difference on the 10-point scale was 1.1 (95% CI 0.4 to 1.8). The effects on the other outcomes were either similar between groups or unclear.
Conclusion
A protocol with a peanut ball, positioning and pelvic mobility reduced the duration of labour and improved maternal satisfaction with childbirth.
期刊介绍：
The Journal of Physiotherapy is the official journal of the Australian Physiotherapy Association. It aims to publish high-quality research with a significant impact on global physiotherapy practice. The journal's vision is to lead the field in supporting clinicians to access, understand, and implement research evidence that will enhance person-centred care. In January 2008, the Journal of Physiotherapy became the first physiotherapy journal to adhere to the ICMJE requirement of registering randomized trials with a recognized Trial Registry. The journal prioritizes systematic reviews, clinical trials, economic analyses, experimental studies, qualitative studies, epidemiological studies, and observational studies. In January 2014, it also became the first core physiotherapy/physical therapy journal to provide free access to editorials and peer-reviewed original research. The Australian Physiotherapy Association extended their support for excellence in physiotherapy practice by sponsoring open access publication of all Journal of Physiotherapy content in 2016. As a result, all past, present, and future journal articles are freely accessible, and there are no author fees for publication.
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