摘要
目的系统评价水中分娩技术对新生儿的影响。方法计算机检索中文科技期刊全文数据库、中国期刊全文数据库、中国生物医学文献数据库、中华医学会数字化期刊、PubMed、EMbase和CochraneLibrary,纳入水中分娩与传统分娩方式比较的随机对照试验,由两位评价者进行资料提取和质量评价后,采用RevMan 5.1软件进行Meta分析。结果共纳入15篇文献,5119例新生儿,Meta分析结果显示,水中分娩在新生儿出生时体重低于普通分娩方式,而在足月胎龄、入新生儿监护病房、Apgar评分<7及新生儿感染结局方面的差异无统计学意义。结论现有证据表明,与传统分娩相比,水中分娩不会对新生儿安全造成风险。
Objective To assess the safety of neonates in water birth. Methods The Chinese Scientific Journals Full Text Database, China Journal Full Text Database, Chinese Biomedical Literature Database, Chinese Medical Association Journals, PubMed, Embase, the Cochrane Library were searched, and were included in the studies to identify randomized controlled trials (RCTs) comparing water birth with land birth. The methodological quality was evaluated and the data was extracted by two reviewers independently using a designed extraction form. The Cochrane Collaboration's RevMan 5.1 software was used to carry out meta-analyses. Results Fifteen RCTs involving 5 119 neonates were included. The results of meta-analysis showed that the weight of neonates in the immersion group were significantly lower than those in the nonimmersion group. There were no significant differences between the two groups on the other sides of the study. Conclusion Now there is no more risk of neonates in water birth compared with land birth.
出处
《兰州大学学报(医学版)》
CAS
2011年第4期41-44,共4页
Journal of Lanzhou University(Medical Sciences)
基金
兰州市科技计划项目(2010-1-66)