非药物性分娩镇痛在阴道试产产妇产程管理中的证据总结

目的 检索、 评价和总结非药物性分娩镇痛在阴道试产产妇产程管理中的证据.方法 系统检索英国国家临床优化研究所网站、美国妇产科医师学会网站、加拿大妇产科医师学会网站、国际指南协作网、乔安娜布里格斯研究所循证卫生保健图书馆、UpToDate、Cochrane图书馆、中国知网、万方、Pubmed等国内外数据库和网站关于非药物...

Evidence summary of management of non-pharmacological labor analgesia for women with trial of labor

Objective To retrieve the best evidence of management of non-pharmacological labor analgesia for women with trial of labor. Methods We systematically searched National Institute for Health and Clinical Excellence（NICE）,American College of Obstetricians and Gynecologists（ACOG）,the Society of Obstetricians and Gynecologists of Canada（SOGC）,Guidelines International Network（GIN）,Joanna Briggs Institute（JBI）,Uptodate,Cochrane Library,CNKI,Wanfang Database,Pubmed to collect guidelines,best practices,expert consensuses. The retrieval period was from January 2014 to September 2019. 2 researchers with evidence-based nursing background assessed the quality of the literature independently and extracted the evidence. Result A total of 12 articles were included,including 1 clinical guideline,2 clinical decisions,5 systematic reviews and 4 evidence summaries. 33 pieces of evidence were obtained,including the implementation timing,supportive environment,accompany delivery,cold and hot compress,breathing and relaxation techniques,transcutaneous electrical nerve stimulation,water labor,touching and massage,posture and activity. Conclusion This study summarized the best evidence of management of non-pharmacological labor analgesia for women with trial of labor,which can provide evidence-based practice bases for standardized management of non-pharmacological labor analgesia in maternity settings.