Effectiveness of a childbirth massage programme for labour pain relief in nulliparous pregnant women at term: a randomised controlled trial

被引:6
|
作者
Lai, C. Y. [1 ]
Wong, Margaret K. W. [2 ]
Tong, W. H. [2 ]
Chu, S. Y. [3 ]
Lau, K. Y. [2 ]
Tam, Agnes M. L. [2 ]
Hui, L. L. [4 ]
Lao, Terence T. H. [1 ]
Leung, T. Y. [1 ]
机构
[1] Chinese Univ Hong Kong, Dept Obstet & Gynaecol, Hong Kong, Peoples R China
[2] Prince Wales Hosp, Dept Obstet & Gynaecol, Hong Kong, Peoples R China
[3] Kwong Wah Hosp, Dept Obstet & Gynaecol, Hong Kong, Peoples R China
[4] Chinese Univ Hong Kong, Dept Paediat, Hong Kong, Peoples R China
关键词
SEVERITY; ANXIETY; MUSIC; BIRTH;
D O I
10.12809/hkmj208629
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: The effect of massage for pain relief during labour has been controversial. This study investigated the efficacy of a programme combining intrapartum massage, controlled breathing, and visualisation for non-pharmacological pain relief during labour. Methods: This randomised controlled trial was conducted in two public hospitals in Hong Kong. Participants were healthy low-risk nulliparous Chinese women >= 18 years old whose partners were available to learn massage technique. Recruitment was performed at 32 to 36 weeks of gestation; women were randomised to attend a 2-hour childbirth massage class at 36 weeks of gestation or to receive usual care. The primary outcome variable was the intrapartum use of epidural analgesia or intramuscular pethidine injection. Results: In total, 233 and 246 women were randomised to the massage and control groups, respectively. The use of epidural analgesia or pethidine did not differ between the massage and by-linear analysis demonstrated a trend whereby fewer women used strong pharmacological pain relief in the massage group, and a greater proportion of women had analgesic-free labour (29.2% vs 21.5%; P=0.041). Cervical dilatation at the time of pethidine/ epidural analgesia request was significantly greater in the massage group (3.8 +/- 1.7 cm vs 2.3 +/- 1.0 cm; P<0.001). Conclusion: The use of a massage programme appeared to modulate pain perception in labouring women, such that fewer women requested epidural analgesia and a shift was observed towards the use of weaker pain relief modalities; in particular, more women in the massage group were analgesic-free during labour.
引用
收藏
页码:405 / 412
页数:8
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