产程第一阶段行走对产妇和新生儿结局的影响:一项随机对照试验

IF 0.8 Q4 NURSING Nursing and Midwifery Studies Pub Date : 2023-01-01 DOI:10.4103/nms.nms_18_22
Reham Khresheh, S. Mosleh, N. Shoqirat, Deema Mahasneh, A. Lesley Barclay
{"title":"产程第一阶段行走对产妇和新生儿结局的影响:一项随机对照试验","authors":"Reham Khresheh, S. Mosleh, N. Shoqirat, Deema Mahasneh, A. Lesley Barclay","doi":"10.4103/nms.nms_18_22","DOIUrl":null,"url":null,"abstract":"Background: In Jordan, practices in maternity wards are not based on the best evidence. Women are still largely confined to bed during the first stage of labor. Objective: This study examined the effect of ambulation during the first stage of labor on maternal and neonatal outcomes. Methods: A blinded randomized controlled trial was conducted in a labor ward of one large hospital in Southern Jordan. Primiparous women (n = 290) were randomly assigned to an intervention group (n = 140) and a control group (n = 150). The intervention group was encouraged to ambulate, and the control group received the usual care. Descriptive statistics, independent t-tests, and analysis of variance were used for data analysis. Results: Compared to the control group, women in the intervention group experienced a shorter duration of the first stage of labor (P < 0.001), reported less intensity of labor pain (P < 0.001), and used less analgesics (P < 0.001). They experienced less augmentation of labor (P = 0.030), were more likely to give birth by normal vaginal birth (P = 0.015) and were more satisfied with the birth experience (P = 0.001). No statistically significant differences were found between groups concerning perineal status, postpartum complications, and neonatal outcomes. Conclusion: Although the intervention has had a positive impact on maternal outcomes, no negative effects on neonatal outcomes were found. Encouraging women to ambulate and assume the upright position during the first stage of labor, is likely to produce better physical, social and economic outcomes in maternity services.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of ambulation during the first stage of labor on maternal and neonatal outcomes: A randomized controlled trial\",\"authors\":\"Reham Khresheh, S. Mosleh, N. Shoqirat, Deema Mahasneh, A. Lesley Barclay\",\"doi\":\"10.4103/nms.nms_18_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: In Jordan, practices in maternity wards are not based on the best evidence. Women are still largely confined to bed during the first stage of labor. Objective: This study examined the effect of ambulation during the first stage of labor on maternal and neonatal outcomes. Methods: A blinded randomized controlled trial was conducted in a labor ward of one large hospital in Southern Jordan. Primiparous women (n = 290) were randomly assigned to an intervention group (n = 140) and a control group (n = 150). The intervention group was encouraged to ambulate, and the control group received the usual care. Descriptive statistics, independent t-tests, and analysis of variance were used for data analysis. Results: Compared to the control group, women in the intervention group experienced a shorter duration of the first stage of labor (P < 0.001), reported less intensity of labor pain (P < 0.001), and used less analgesics (P < 0.001). They experienced less augmentation of labor (P = 0.030), were more likely to give birth by normal vaginal birth (P = 0.015) and were more satisfied with the birth experience (P = 0.001). No statistically significant differences were found between groups concerning perineal status, postpartum complications, and neonatal outcomes. Conclusion: Although the intervention has had a positive impact on maternal outcomes, no negative effects on neonatal outcomes were found. Encouraging women to ambulate and assume the upright position during the first stage of labor, is likely to produce better physical, social and economic outcomes in maternity services.\",\"PeriodicalId\":45398,\"journal\":{\"name\":\"Nursing and Midwifery Studies\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing and Midwifery Studies\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/nms.nms_18_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing and Midwifery Studies","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/nms.nms_18_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

摘要

背景:在约旦,产科病房的做法并非基于最佳证据。在分娩的第一阶段,大部分妇女仍被限制在床上。目的:本研究探讨分娩第一阶段走动对产妇和新生儿预后的影响。方法:在约旦南部某大型医院产房进行盲法随机对照试验。290名初产妇被随机分为干预组(n = 140)和对照组(n = 150)。干预组给予鼓励走动,对照组给予常规护理。数据分析采用描述性统计、独立t检验和方差分析。结果:与对照组相比,干预组妇女第一产程持续时间较短(P < 0.001),分娩疼痛强度较轻(P < 0.001),使用的镇痛药较少(P < 0.001)。她们的产程增加较少(P = 0.030),顺产的可能性更大(P = 0.015),分娩满意度更高(P = 0.001)。在会阴状态、产后并发症和新生儿结局方面,组间无统计学差异。结论:虽然干预对产妇结局有积极影响,但对新生儿结局没有负面影响。鼓励妇女在分娩的第一阶段走动并采取直立姿势,可能会在产妇服务中产生更好的身体、社会和经济结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Effects of ambulation during the first stage of labor on maternal and neonatal outcomes: A randomized controlled trial
Background: In Jordan, practices in maternity wards are not based on the best evidence. Women are still largely confined to bed during the first stage of labor. Objective: This study examined the effect of ambulation during the first stage of labor on maternal and neonatal outcomes. Methods: A blinded randomized controlled trial was conducted in a labor ward of one large hospital in Southern Jordan. Primiparous women (n = 290) were randomly assigned to an intervention group (n = 140) and a control group (n = 150). The intervention group was encouraged to ambulate, and the control group received the usual care. Descriptive statistics, independent t-tests, and analysis of variance were used for data analysis. Results: Compared to the control group, women in the intervention group experienced a shorter duration of the first stage of labor (P < 0.001), reported less intensity of labor pain (P < 0.001), and used less analgesics (P < 0.001). They experienced less augmentation of labor (P = 0.030), were more likely to give birth by normal vaginal birth (P = 0.015) and were more satisfied with the birth experience (P = 0.001). No statistically significant differences were found between groups concerning perineal status, postpartum complications, and neonatal outcomes. Conclusion: Although the intervention has had a positive impact on maternal outcomes, no negative effects on neonatal outcomes were found. Encouraging women to ambulate and assume the upright position during the first stage of labor, is likely to produce better physical, social and economic outcomes in maternity services.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
1.70
自引率
0.00%
发文量
0
审稿时长
29 weeks
期刊最新文献
Perceived stress and social support in pregnant women during the COVID-19 Pandemic Physical resilience and its related factors in Iranian older adults with ischemic heart disease: A cross-sectional study Psychological well-being and coping strategies of midwives during the COVID-19 pandemic in Indonesia: A qualitative study The Effects of Nigella sativa and curcumin supplementation on oxidative stress biomarkers in postmenopausal women with primary osteoporosis or osteopenia: A triple-blind factorial randomized controlled trial Effects of ambulation during the first stage of labor on maternal and neonatal outcomes: A randomized controlled trial
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1