第二产程侧卧位对低危初产妇分娩结局影响的范围综述
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Scoping review on the impact of lateral position during the second stage of labor on delivery outcomes in low-risk primiparous women
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    目的 了解第二产程侧卧位分娩的相关研究现状,明确该领域未来的研究方向,促进临床更合理地应用分娩体位。方法 使用澳大利亚JBI更新版范围综述的制作指南和理论框架作为方法学指导,同时采用PRISMA-ScR作为报告清单,检索PubMed、Embase、Web of Science、CINAHL Plus、ProQuest Dissertations & Theses、中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献数据库、中国博士/硕士学位论文全文数据库、中国学位论文全文数据库中针对第二产程侧卧位分娩的相关研究,检索时限为建库至2022年11月25日,并对所纳入的文献进行数据提取和分析。结果 共纳入45篇文献,各研究第二产程侧卧位分娩的干预措施差距不大,研究结果显示相较于传统体位,该干预措施能改善低危初产妇的母婴结局指标,但需满足更多助产士人力资源及助产护理等要求。结论 第二产程侧卧位分娩在改善低危初产妇母婴结局指标上具有优势,可考虑作为一种新型分娩体位应用于临床,但未来仍需要更多的高质量及大样本研究验证该体位在临床中的可行性。

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    Objective To determine the current status of lateral position delivery during the second stage of labor, to clarify the future research directions and promote a more rational application of delivery positions in clinical practice. Methods The production of review was in line with JBI′s updated methodological guidance for the conduct of scoping reviews, and the PRISMA-ScR was used as a reporting checklist. A comprehensive search was conducted in databases, including PubMed, Embase, Web of Science, CINAHL Plus, ProQuest Dissertations & Theses, CNKI, Wanfang Database, VIP, SinoMed, China Doctoral/Master′s Dissertations Full-text Database (CDFD-CMFD), and China Dissertation Database (CDDB), for relevant studies on lateral position during the second stage of labor. The search time frame was set from the inception of the databases to November 25, 2022. Data extraction and analysis were performed on the included literature. Results A total of 45 articles were included in the review and there was little variation in the interventions for lateral position delivery during the second stage of labor across studies. The results indicated that, compared to traditional positions, lateral position intervention could improve most maternal and neonatal outcome indicators for low-risk primiparous women, though it demanded more midwifes and more midwifery services. Conclusion Lateral position delivery during the second stage of labor has advantages in improving multiple maternal and neonatal outcome indicators for low-risk primigravid women, and can be considered as a novel delivery position in actual deliveries. However, more high-quality and large-scale studies are needed to validate the feasibility of this position in the clinical settings.

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胡倩,李雨轩,弓政,陆虹.第二产程侧卧位对低危初产妇分娩结局影响的范围综述[J].护理学杂志,2024,39(8):123-128

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  • 收稿日期:2023-11-07
  • 最后修改日期:2024-01-24
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  • 在线发布日期: 2024-07-27