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Inicio Enfermería Clínica (English Edition) Birthing ball versus pethidine and haloperidol in satisfaction with childbirth
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Vol. 29. Issue 4.
Pages 234-238 (July - August 2019)
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Vol. 29. Issue 4.
Pages 234-238 (July - August 2019)
Brief Original Article
Birthing ball versus pethidine and haloperidol in satisfaction with childbirth
Pelota de parto versus petidina y haloperidol en la satisfacción en el parto
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Julita Fernández-Arranza,
Corresponding author
info@aquanatal.es

Corresponding author.
, Azucena Pedraz-Marcosb, Ana M. Palmar-Santosb, M. Nieves Moro-Tejedorc
a Hospital General Universitario Gregorio Marañón, Madrid, Spain
b Departamento de Enfermería, Universidad Autónoma de Madrid, Madrid, Spain
c Unidad de Apoyo a la Investigación, Hospital General Universitario Gregorio Marañón, Madrid, Spain
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Table 1. Maternal satisfaction measured with the Mackey Satisfaction Childbirth Rating Scale.
Abstract
Objective

To determine the effects on maternal satisfaction of the use of the birthing ball as a method of pain relief compared to the subcutaneous administration of pethidine (50mg) and haloperidol (2.5mg), during the latent phase of labour.

Method

Randomised, unicentric, parallel and controlled clinical trial. Participants: Low-risk pregnant women hospitalised in a pathological pregnancy ward at the Gregorio Marañón University General Hospital (Madrid) due to prolonged pregnancy, premature rupture of membranes, or labour prodromes. Intervention: Once the patient's labour had become painful, a series of pre-established movements were implemented with a birthing ball in the intervention group, or pethidine and haloperidol were administered at the same dose subcutaneously. After the intervention and on the post-natal ward, satisfaction was measured with the Mackey Satisfaction Childbirth scale, validated in Spanish in 2016, in the first 48–72h after delivery. Analysis: Group comparisons: Student's t for continuous variables and Chi-squared for categorical variables. Significance at p<.05.

Results

The maternal satisfaction was significantly higher in the experimental group than in the comparison group, in all the domains of the scale: obstetrician (4.24/3.87), dilatation (4.02/3.35), second stage (4.27/3.67), newborn (4.72/4.43), accompaniment and comfort (4.78/4.44). There were, however, no statistically significant differences in the midwife subscale, although the scores were equally high (4.65/4.45).

Conclusion

Using birthing balls during the latent phase of labour increases women's satisfaction with their labour process more than administering pethidine and haloperidol during this period.

Keywords:
Natural childbirth
Labour pain
Patient satisfaction
Birthing ball
Resumen
Objetivo

Determinar los efectos en la satisfacción materna del uso de la pelota de parto como método de alivio del dolor, comparado con la administración subcutánea de petidina (50mg) y haloperidol (2.5mg), en el periodo de latencia de parto.

Método

Ensayo clínico aleatorizado, unicéntrico, paralelo y controlado. Participantes: gestantes de bajo riesgo, ingresadas en la planta de embarazo patológico del HGU Gregorio Marañón, por gestación cronológicamente prolongada, rotura prematura de membranas o pródromos de parto. Intervención: una vez que la paciente manifestaba dolor con su proceso, se implementaban una serie de movimientos predeterminados con la pelota de partos, en el caso del grupo intervención, o se administraba petidina más haloperidol, vía subcutánea. Tras la intervención y en planta de puérperas la satisfacción era medida con la escala Mackey Satisfaction Childbirth, validada al castellano en 2016, en las primeras 48–72h posparto. Análisis: comparación de grupos: la t de Student para las variables continuas y la Chi-cuadrado para las categóricas.

Resultados

La satisfacción materna fue significativamente mayor en el grupo experimental que en el grupo de comparación, en todas las esferas de la escala: obstetra (4.24/3.87), dilatación (4,02/3,35), expulsivo (4,27/3,67), recién nacido (4,72/4,43) y acompañamiento y comodidad (4,78/4,44). No hubo, sin embargo, diferencias estadísticamente significativas en la subescala matrona, aunque las puntuaciones fueron igualmente altas (4,65/4,45).

Conclusión

El uso de pelotas de parto durante el periodo de latencia aumenta la satisfacción de la mujer en el proceso de parto, en mayor medida que la administración conjunta de petidina y haloperidol.

Palabras clave:
Parto natural
Dolor de parto
Satisfacción del paciente
Pelota de parto

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