بررسی تأثیر گلاب خوراکی بر نمره بیشاپ و شروع خود‌به‌خودی زایمان در زنان نخست‌زا: یک کارآزمایی بالینی تصادفی‌سازی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

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

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

4 استادیار گروه طب سنتی، واحد توسعه تحقیقات بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

10.22038/ijogi.2025.84486.6289

چکیده

مقدمه: آماده نبودن سرویکس، موجب طولانی ­شدن مراحل زایمان و اثرات نامطلوب بر مادر و نوزاد می ­شود و گلاب به عنوان یک داروی سنتی و کم­ هزینه، ممکن است بتواند به آمادگی سرویکس در زنان باردار کمک کند. مطالعه حاضر با هدف بررسی تأثیر گلاب خوراکی بر آمادگی سرویکس و شروع خود­به ­خودی زایمان در زنان نخست­زای مراجعه ­کننده به زایشگاه­ های زرند انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی سه‌سوکور در سال 1401 بر روی 120 زن نخست ­زا با سن بارداری 40-38 هفته در شهرستان زرند انجام شد. نمونه ­ها به دو گروه 60 نفره مداخله و کنترل تقسیم شدند. به گروه مداخله گلاب و به گروه کنترل آب بدون رنگ و بو داده شد که مصرف کنند. قبل از شروع مداخله، روز هفتم و هنگام ورود به لیبر جهت زایمان، نمره بیشاپ اندازه ­گیری شد. تجزیه­ و ­تحلیل داده ­ها با استفاده از نرم ­افزار آماری SPSS (نسخه 24) و آزمون‌های تی دو نمونه مستقل، آزمون آنالیز واریانس نمونه‌های مکرر، کای اسکوئر و تست دقیق فیشر انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته ­ها: در مجموع (بدون در نظر گرفتن زمان­ های ارزیابی)، میانگین هر سه زمان اندازه­ گیری نمره بیشاپ زنان گروه مداخله کمی بیشتر از گروه کنترل بود. میانگین نمره بیشاپ اصلاح­ شده در گروه مداخله 64/1±76/4 و در گروه کنترل 02/1±00/4 بود (119/0=p). همچنین بین دو گروه از نظر شروع زایمان، اختلاف معنی ­داری مشاهده نشد (453/0=p).
نتیجه ­گیری: مصرف 10 میلی­ لیتر گلاب خوراکی با غلظت 2±24 درصد، بر آمادگی سرویکس زنان نخست­ زا تأثیری نداشت و عوارض جانبی نیز به‌همراه نداشت.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effect of Edible Rose Water on Bishop Score and Spontaneous Onset of Labor in Primiparous Women: A Randomized Clinical Trial

نویسندگان [English]

  • Farzaneh Nakhai Mohammadabadi 1
  • Zohreh Ghorashi 2
  • Puran Allah Bakshi 3
  • Ali Mohammad Maddahian 4
1 M.Sc. of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2 Associate Professor, Department of Midwifery, Geriatric Care Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3 Instructor, Department of Midwifery, Geriatric Care Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4 Assistant Professor, Department of Traditional Medicine, Clinical Research Development Unit, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
چکیده [English]

Introduction: Unripe cervix causes prolonged labor stages and adverse effects on the mother and baby, and rose water, as a traditional and low-cost medicine, may be able to help the preparation of the cervix in pregnant women. This study was conducted with aim to investigate the effect of edible rose water on cervical preparation and spontaneous onset of labor in primiparous women referred to Zarand maternity hospitals.
Methods: This triple-blind randomized clinical trial study was conducted in 2022 on 120 primiparous women with a gestational age of 38-40 weeks in Zarand City. The samples were allocated to two groups of 60 people, intervention and control. The intervention group was given rose water and the control group was given colorless and odorless water. Bishop score was measured before the start of the intervention and on the seventh day and when entering labor for delivery. Data analysis was done using SPSS software (version 24) and two-sample independent t-test, repeated measure ANOVA, chi-square, and Fisher's exact test. P<0.05 was considered significant.
Results: In general, (without considering the evaluation times), the mean of all three measurement times of the Bishop score of women in the intervention group was slightly higher than that of the control group. However, the mean of the revised Bishop score in the intervention group was 4.76±1.64 and in the control group was 4.00±1.02 (P=0.119). Also, no significant difference was observed between the two groups regarding the onset of labor (P=0.453).
Conclusion: Consumption of 10 ml of oral rose water with a concentration of 24±2% did not affect the preparation of the cervix of primiparous women and had no side effects.

کلیدواژه‌ها [English]

  • Bishop Score
  • Labor
  • Primiparous Women
  • Randomized Clinical Trial
  • Rose Water

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 28، شماره 6
شهریور 1404
صفحه 66-77

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