关于分娩过程中妇女盆底肌肉力量和张力的变化,我们了解多少?范围综述。

IF 1.5 Q3 NURSING
European Journal of Midwifery Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI:10.18332/ejm/189955
Andrea Manzotti, Simona Fumagalli, Sonia Zanini, Veronica Brembilla, Adele Alberti, Ilaria Magli, Elis Buratti, Nicoletta Coraglia, Andrea De Fusco, Daniel Zambù, Valeria Zanotta, Antonella Nespoli
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引用次数: 0

摘要

导言:本范围界定综述旨在全面探讨有关盆底功能在整个分娩过程(产前、产中和产后)中发生变化的现有研究。此外,本综述还试图为这一领域的未来研究确定新的机遇和方向。本综述尤其侧重于研究妇女在分娩过程中的盆底肌肉力量和张力:从一开始就对以下数据库进行了调查:PubMed、OVID、Medline、ScienceDirect、The Cochrane Central Library、Scopus、Web of Science、PEDro、Scholar Google、Embase 和 CINHAIL。文献研究于 2022 年 3 月至 10 月进行。通过数据库搜索确定的记录被导入 Covidence。根据Arksey和O'Malley的五阶段范围审查框架,研究人员对标题和摘要进行资格筛选,并排除不符合纳入标准的记录:共有 40 项研究被纳入数据提取阶段。这些文章都进行了综述,重点研究了整个分娩过程中盆底的张力、强度和伸展性。在入选的研究中,有 22 篇研究了骨盆底的力量,7 篇研究了骨盆底的伸展性,3 篇研究了骨盆底的张力:本次综述发现了在所有三个研究主题中存在一致和不一致的地方,尤其强调了分娩和产后阶段。值得注意的是,该综述揭示了在整个分娩过程中有关盆底肌肉张力的数据非常缺乏。需要进一步研究助产护理与盆底效果之间的关系,以改进临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What is known about changes in pelvic floor muscle strength and tone in women during the childbirth pathway? A scoping review.

Introduction: This scoping review aims to comprehensively explore the existing research on the changes in pelvic floor function that occur throughout the childbirth pathway (antenatal, intrapartum, and postnatal period). Furthermore, it seeks to identify new opportunities and directions for future research in this field. In particular, this review focuses on investigating pelvic floor muscle strength and tone in women during the childbirth pathway.

Methods: The following databases were investigated from their inception: PubMed, OVID, Medline, ScienceDirect, The Cochrane Central Library, Scopus, Web of Science, PEDro, Scholar Google, Embase, and CINHAIL. Literature research was carried out from March to October 2022. Records identified through database searching were imported to Covidence. According to Arksey and O'Malley's five-stage scoping review framework, researchers screen titles and abstracts for eligibility and exclude records that do not meet the inclusion criteria.

Results: A total of 40 studies were included in the data extraction phase. These articles underwent a review, with a specific emphasis on examining the tone, strength, and distensibility of the pelvic floor throughout the childbirth pathway. Among the selected studies, 22 investigated pelvic floor strength, 7 the distensibility, and 3 articles the tone.

Conclusions: This review identified both areas of agreement and disagreement across all three themes examined, with a particular emphasis on labor and the postpartum period. Notably, the review unveiled a significant scarcity of data concerning the tone of pelvic floor muscles throughout the childbirth pathway. Further studies to investigate the relationship between midwifery care and pelvic floor outcomes are required to improve clinical practice.

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来源期刊
European Journal of Midwifery
European Journal of Midwifery Nursing-Maternity and Midwifery
CiteScore
2.20
自引率
15.80%
发文量
65
审稿时长
16 weeks
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