摘要
[目的]系统评价分娩球配合自由体位助产对初产妇妊娠结局的效果。[方法]搜集中国生物医学文献数据库、万方数据库、知网数据库(建库至2017年11月30日)关于分娩球配合自由体位助产对初产妇妊娠结局的影响的随机对照试验。采用RevMan 5.3软件进行Meta分析。[结果]本研究共纳入10项随机对照试验,共1 220例产妇。Meta分析结果显示,分娩球配合自由体位分娩与常规方式分娩相比,在疼痛的感觉、总产程时间、剖宫产率、自然分娩率、产后出血等方面均差异有统计学意义(P<0.05)。[结论]现有证据表明,分娩球配合自由体位分娩可以减轻分娩疼痛、缩短分娩产程时间、降低剖宫产率、促进自然分娩率以及减少产后2h出血量。
Objective:To systemly evaluate the influence of birth ball midwifery with free position on the pregnancy outcomes in primiara.Methods:Using the Chinese biomedical literature database,Wanfang database,CNKI database(database-November 30,2017) to collect the related ariticals what adoPted the ways of randomized controlled trials.RevMan 5.3 was used software for Meta analysis.Results:Ten trials ( n =1220)were identified.The results of the meta-analysis showed that the ways of the birth ball with free position midwifery had significant difference in the sensation of pain decreased,the total labor time,the cesarean section rate,the natural births rate,the incidence of postpartum hemorrhagehave.Conclusions:This study shows that the birth ball with free position midwifery can alleviate labor pain,strengthen the birth control,shorten the delivery time,reduce cesarean section rate,promote the rate of the natural births and reduce postpartum blood loss and reduce the amount of bleeding after 2 hours,so it is of great significance for clinical practice.
作者
崔劲花
韩叶芬
丁利萍
王笑笑
梁梦颖
CUI Jinhua;HAN Yefen;DING Liping;WANG Xiaoxiao;LIANG Mengying(Guangxi University of Chinese Medicine,Guangxi 530011 China)
出处
《循证护理》
2019年第1期14-18,共5页
Chinese Evidence-Based Nursing
关键词
初产妇
自由体位
分娩球
导乐球
META分析
自然分娩
疼痛
剖宫产
primipara
free position
birth ball
guide the ball
Meta-analysis
natural childbirth
pain
cesarean section
