Consolación Lima-De-La-Iglesia, Eleonora Magni, Alicia Botello-Hermosa, María Dolores Guerra-Martín
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引用次数: 0
Abstract
Background/objectives: The current trend in maternal health is to foster more natural and less medicalized therapies, with increasing interest in complementary therapies. This study has analyzed the benefits of complementary therapies during pregnancy, delivery and the postpartum period.
Methods: A paired systematic review was carried out (PROSPERO: CRD42024543981). The following databases were consulted: PubMed, Scopus, Web of Science and CINAHL. Inclusion criteria were randomized clinical trials about complementary therapies in women during pregnancy, delivery and/or the postpartum period. The risk of bias of the clinical trials was evaluated using the revised Cochrane Risk of Bias tool for randomized trials version 2 (RoB-2).
Results: A total of 1684 studies were found, with a final selection of 17. The most studied symptom was pain. Hydrotherapy, perinatal Swiss ball exercises, acupressure, virtual reality and foot reflexology provided a significant reduction in pain during labor. Similarly, aromatherapy, electroacupuncture and massage have shown significant benefits in pain management after Cesarean. Yoga, when practiced during pregnancy, effectively reduces anxiety and depression, with similar benefits observed when practiced during the postpartum period.
Conclusions: Complementary therapies improve pain, anxiety and depression management across maternal health phases.
背景/目标：目前孕产妇保健的趋势是促进更多的自然疗法和较少的医疗疗法，同时对补充疗法的兴趣日益增加。本研究分析了在怀孕、分娩和产后期间补充疗法的益处。方法：进行配对系统评价（PROSPERO: CRD42024543981）。参考了以下数据库：PubMed、Scopus、Web of Science和CINAHL。纳入标准是关于孕期、分娩和/或产后妇女补充疗法的随机临床试验。临床试验的偏倚风险采用修订后的Cochrane随机试验风险评估工具第2版（rob2）进行评估。结果：共发现1684项研究，最终选择17项。研究最多的症状是疼痛。水疗、围产期瑞士球练习、指压、虚拟现实和足部反射疗法可以显著减少分娩时的疼痛。同样，芳香疗法、电针和按摩在剖宫产后疼痛管理方面也显示出显著的益处。在怀孕期间练习瑜伽，可以有效地减少焦虑和抑郁，在产后练习也有类似的效果。结论：补充疗法可改善产妇健康各阶段的疼痛、焦虑和抑郁管理。
期刊介绍：
Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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