بررسی تأثیر ماساژ واژن و پرینه با روغن مرغابی بر طول مرحله دوم زایمان، فراوانی اپی‌زیاتومی و پارگی پرینه در زنان نخست‌زا: یک کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 دانشیار گروه مامایی، مرکز تحقیقات ارتقای سلامت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

3 استادیار گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

4 استادیار گروه فارماکوگنوزی، مرکز تحقیقات گیاهان دارویی، دانشکده داروسازی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

5 استادیار گروه طب و داروسازی ایرانی، دانشکده داروسازی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: اتخاذ یک روش بی‌خطر جهت تسریع زایمان می­ تواند مرگ‌و‌میر و عوارض مادری و جنینی را کاهش دهد. زایمان طول کشیده، پارگی پرینه و اپی‌زیاتومی می­ توانند با عوارض کوتاه‌مدت و بلندمدت مادری و جنینی همراه شوند. مطالعه حاضر با هدف بررسی تأثیر ماساژ واژن و پرینه با روغن مرغابی بر طول مرحله دوم زایمان، فراوانی اپی­زیاتومی و پارگی پرینه در زنان نخست‌زا انجام شد.
روش‌کار: این کارآزمایی بالینی تصادفی در سال 1399 بر روی 129 نفر از زنان نخست‌زا با حاملگی تک‌قلو، سن بارداری 42-37 هفته و پرزانتاسیون سفالیک انجام شد. زنان به سه گروه 43 نفره شامل گروه روغن مرغابی، گروه ژل لوبریکانت و گروه کنترل تقسیم شدند. در طی مرحله دوم زایمان، ماساژ آرام و آهسته با دو انگشت سبابه و میانی که آغشته به روغن مرغابی (برای گروه روغن مرغابی) یا ژل لوبریکانت (برای گروه ژل) بود، انجام شد. برای گروه کنترل ماساژ بدون لغزان کننده انجام شد. تجزیه و تحلیل داده­ ها با استفاده از نرم‌افزار آماری SPSS (نسخه 23) و آزمون­ های کروسکال والیس، مقایسات زوجی و کای اسکوئر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین طول مرحله دوم زایمان در گروه روغن مرغابی (47/21±77/35) به‌طور معنی‌داری کمتر از گروه کنترل (54/17±65/49) و گروه ژل (35/21±19/44) بود (01/0=p). از نظر پارگی­ های پرینه و فراوانی اپی­ زیاتومی، اختلاف معناداری میان گروه­های مورد مطالعه مشاهده نشد (05/0<p).
نتیجه‌گیری: ماساژ واژن و پرینه با روغن مرغابی در مرحله دوم زایمان طول مرحله دوم زایمان را کوتاه‌تر کرد، اما بر اپی‌زیاتومی و پارگی پرینه تأثیری نداشت.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of vaginal and perineal massage with duck oil on length of second stage of labor, episiotomy, and perineal laceration in nulliparous women: a randomized controlled trial

نویسندگان [English]

  • Mona Matori Abdolahi 1
  • Mojgan Javadnoori 2
  • Saeed Ghanbari 3
  • Fereshteh Golfakhrabadi 4
  • Fatemeh Amini 5
1 M.Sc. of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 Associate Professor, Department of midwifery, Reproductive Health Promotion Research Center, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 Assistant Professor, Department of Biostatistics, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 Assistant Professor, Department of Pharmacognosy, Medicinal Plant Research Center, School of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5 Assistant Professor, Department of Persian Medicine and Pharmacy, School of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Adopting a safe method to accelerate labor can reduce maternal and fetal mortality and morbidity. Prolonged labor, perineal rupture and episiotomy can be associated with short and long-term maternal and fetal complications. This study was performed aimed to examine the effect of vaginal and perineal massage with duck oil on the length of the second stage of labor, the frequency of episiotomy, and perineal laceration in nulliparous women.
Methods: This randomized controlled trial study was performed in 2020 on 129 nulliparous women with singleton pregnancy aged 18-35 years, gestational age 37-42 weeks, and cephalic presentation. The participants were divided into duck oil group (n=43), lubricant gel group (n=43), and control group (n=43). During the second stage of labor, a gentle massage was performed with the index and middle fingers impregnated with duck oil (for the oil group) or lubricant gel (for the gel group). The control group received massage without gel or oil. Data were analyzed by SPSS software (version 23) and Kruskal-Wallis, paired comparison and Chi-square tests. P<0.05 was considered statistically significant.
Results: The mean length of the second stage of labor in the duck oil group (35.77 ±21.47) was significantly lower than the control group (49.65±17.54) and the gel group (44.19±21.35) (P=0.01). There was no significant difference among the groups in terms of perineal rupture and the frequency of episiotomy (p >0.05).
Conclusion: Perineal and vaginal massage using duck oil in the second stage of labor can shorten the length of the second stage of labor, but had no effect on episiotomy and perineal rupture.

کلیدواژه‌ها [English]

  • Duck Oil
  • Episiotomy
  • Lubrication
  • Perineal rupture
  • Second stage of labor

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 10
دی 1401
صفحه 53-62

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