Randomised trial of structured antenatal training sessions to improve the birth process
Randomised trial of structured antenatal training sessions to improve the birth process
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DOI：
10.1111/j.1471-0528.2010.02584.x
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发表时间：
2010-07-01
影响因子：
5.8
通讯作者：
Olsen, J.
中科院分区：
文献类型：
--
作者：
Maimburg, R. D.;Vaeth, M.;Olsen, J.
目的比较参加结构化产前培训项目“准备好生孩子”项目的初产妇与接受常规护理的妇女的分娩过程。设计一项随机对照试验。设置丹麦一所大学医院。研究对象：1093名初产妇，在22 + 0周前招募。方法通过电子邮件向妇女发送问卷，监测对方案的依从性。以及当地出生队列数据库的数据。根据“意向治疗”原则对数据进行分析。InterventionWomen被随机分为接受9小时的产前培训和不接受正规培训两组。在1193名妇女中，603名被随机分配到干预组，590名被分配到参照组。主要结果测量到达产科病房时的子宫颈扩张，分娩过程中疼痛缓解和医疗干预的使用，结果参加“为孩子做好准备”计划的妇女比对照组更经常地在分娩时到达产科病房组[相对危险度（RR）1.45，95%可信区间（95%CI）1.26-1.65，P < 0.01]，且产程中硬膜外镇痛使用较少（RR 0.84，95% CI 0.73-0.97，P < 0.01），但总体疼痛缓解程度并不降低（RR 0.99，95% CI 0.94-1.04，P < 0.72）。两组的医疗干预和妇女自我报告的分娩经历相似。我们没有发现任何不良影响的intervention.ConclusionAttending的“准备好孩子”计划可以帮助妇女更好地科普分娩过程。不良影响很少，如果有的话。
ObjectiveTo compare the birth process in nulliparous women enrolled in a structured antenatal training programme, 'The Ready for Child' programme, with women allocated to routine care.DesignA randomised controlled trial.SettingA Danish university hospital.ParticipantsThousand hundred and ninety-three nulliparous women, recruited before week 22 + 0.MethodsCompliance to the protocol was monitored by questionnaires sent to the women by email, and by data from the local birth cohort database. Data were analysed according to the 'intention-to-treat' principle.InterventionWomen were randomised to receive 9 hours of antenatal training or no formalised training. Of the 1193 women, 603 were randomised to the intervention group and 590 were allocated to the reference group.Main outcome measuresCervix dilatation on arrival at the maternity ward, use of pain relief and medical interventions during the birth process, and the women's birth experience.ResultsWomen who attended the 'Ready for Child' programme arrived at the maternity ward in active labour more often than the reference group [relative risk (RR) 1.45, 95% confidence interval (95% CI) 1.26-1.65, P < 0.01], and they used less epidural analgesia during labour (RR 0.84, 95% CI 0.73-0.97, P < 0.01) but not less pain relief overall (RR 0.99, 95% CI 0.94-1.04, P < 0.72). Medical interventions and the women's self-reported birth experiences were similar in the two groups. We found no adverse effects of the intervention.ConclusionAttending the 'Ready for Child' programme may help women to cope better with the birth process. Adverse effects are few, if any.