تأثیر بذر کتان بر آمادگی سرویکس و پیامد زایمان در زنان نخست‌زا: یک کارآزمایی بالینی تصادفی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشیار گروه مامایی، دانشکده پرستاری و مامایی، مرکز تحقیقات مراقبت سالمندی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

2 استادیار روانشناسی سلامت، گروه روان پرستاری، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

3 مربی گروه مامایی، دانشکده پرستاری و مامایی، مرکز تحقیقات مراقبت سالمندی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

چکیده

مقدمه: برای تسهیل زایمان طبیعی و کاهش سزارین، از داروهای شیمیایی و گیاهی استفاده می­شود. عدم آمادگی سرویکس با عوارض متعددی همراه است. با توجه به اینکه داروهای شیمیایی ممکن است با عوارض مادری و جنینی همراه باشند، مطالعه حاضر با هدف تعیین تأثیر مصرف بذر کتان بر آمادگی سرویکس و پیامد زایمان انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی در سال 1400-1397 بر روی 120 زن باردار نخست‌زای مراجعه کننده به مطب مامایی شهرستان رفسنجان انجام شد. نمونه ­ها به‌صورت تصادفی به دو گروه مداخله و کنترل تقسیم شدند. 28 بسته 10 گرمی پودر بذر کتان در اختیار گروه مداخله قرار گرفت تا از هفته 37 بارداری تا زمان زایمان هر صبح ناشتا یک بسته را در یک لیوان آب ولرم میل نمایند. در گروه کنترل مداخله­ ای انجام نشد. ابزار مطالعه، پرسشنامه اطلاعات دموگرافیک و مامایی بود و دو گروه از نظر آمادگی سرویکس و پیامدهای مادری و نوزادی با یکدیگر مقایسه شدند. تجزیه و تحلیل داده­ ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و آزمون­ های آماری تی مستقل و کای اسکوئر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ ها: در هنگام مراجعه، دو گروه از نظر آمادگی سرویکس تفاوت آماری معنی‌داری داشتند و در گروه مداخله آمادگی سرویکس بیشتر بود (01/0=p). همچنین طول مرحله اول زایمان در گروه مداخله کمتر بود (03/0=p). دو گروه از نظر سایر پیامدهای زایمان شامل علت بستری، القاء و تقویت دردهای زایمانی، طول مرحله دوم، دیسترس جنین، دفع مکونیوم، نوع زایمان، آپگار دقیقه اول و پنجم و خونریزی پس از زایمان تفاوت آماری معنی‌داری نداشتند (05/0<p).
نتیجه ­گیری: استفاده از بذر کتان خوراکی باعث افزایش احتمال آمادگی سرویکس و کوتاه‌تر شدن مرحله اول و سیر زایمان می ­شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effect of flaxseed on cervical ripening and delivery outcome in primiparous women: a randomized clinical trial

نویسندگان [English]

  • Zohre Ghorashi 1
  • Ahmad Reza Sayadi 2
  • Pouran Allahbakhshinasab 3
1 Associate Professor, Departments of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2 Assistant Professor of Health Psychology, Department of Psychiatric Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3 Instructor, Department of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
چکیده [English]

introduction: Chemical and herbal medicines are used to facilitate vaginal delivery and reduce cesarean section. Unripe cervix is associated with many complications. Since chemical drugs may be associated with maternal and fetal complications, the present study was performed with aim to determine the effect of flaxseed on cervical ripening and delivery outcome.
Methods: This randomized clinical trial study was conducted in 2018-2021 on 120 primiparous women referred to a midwifery office in Rafsanjan city. The samples were randomly divided into intervention and control groups. Then, 28 packets of 10 gr of flaxseed powder were provided to the intervention group, so that from the 37th week of pregnancy until delivery, they eat one packet in a glass of warm water every morning as fasting. The control group received no intervention. The study tool was a demographic and obstetric information questionnaire, and the two groups were compared in terms of cervical ripening and maternal and neonatal outcomes. Data analysis was done using SPSS software (version 22) and independent t and chi-square statistical tests. P<0.05 was considered statistically significant.
Results: At admission time, the two groups had statistically significant differences in cervical ripening, and it was higher in the intervention group (p=0.01). Also, the first stage duration of labor was shorter in the intervention group (p=0.03). The two groups had no statistically significant difference in terms of other delivery outcomes, including admission cause, induction and strengthening of labor pains, the second stage duration, fetal distress, meconium passing, type of delivery, first and fifth minute Apgar scores, and postpartum hemorrhage (p<0.05).
Conclusion: The use of flaxseed increases the probability of cervical ripening and shortens the first stage and the course of childbirth.

کلیدواژه‌ها [English]

  • Cervical Ripening
  • Delivery Outcome
  • Flaxseed

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 3
خرداد 1403
صفحه 1-9

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