분만 2기 산모의 직립자세가 분만결과에 미치는 효과: 체계적 문헌고찰
분야
의약학 > 간호학
저자
박성희 ( Seong Hi Park ) , 황정해 ( Jeong Hae Hwang ) , 최윤경 ( Yun Kyoung Choi ) , 강창범 ( Chang Bum Kang )
발행기관
한국여성건강간호학회 (구 여성건강간호학회)
간행물정보
KJWHN(여성건강간호학회지) 2012년, 제18권 제3호, 209~222페이지(총14페이지)
파일형식
69000827.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: The purpose of this study was to determine whether upright position is effective in labor through systematic review in randomized controlled trials. Method: We established the PICO (Patient-Intervention-Comparator-Outcome) strategy, and reviewed 282 literatures from national and international electronic databases, and finally selected 9 references based on inclusion and exclusion criteria. We evaluated the quality of references and carried out a meta-analysis. Results: the maternal outcomes showed that the duration of their second-stage labor was 2.29 minutes shorter than that of the women in the recumbent position, and were less likely to have episiotomy. The other outcomes, including the mode of delivery, blood loss, hemoglobin level, use of oxytocin, use of analgesics, and perineal laceration, did not differ between the groups. The fetal heart rate abnormality occurred less than in the control group. The Apgar scores of the groups did not differ. Conclusion: There is evidence that an upright position in the second stage of labor reduces the duration of the second stage of labor, the incidence of episiotomy, and an abnormal fetal heart rate.
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