干旱区生态环境知识资源中心(Arid): PFMT relevant strategies to prevent perineal trauma: a systematic review and network meta-analysis

Arid

DOI	10.1007/s00404-022-06769-w
	PFMT relevant strategies to prevent perineal trauma: a systematic review and network meta-analysis
	Cao, Xiao; Yang, Qiuyu; Wang, Qi; Hu, Shasha; Hou, Liangying; Sun, Mingyao; Lai, Honghao; Wu, Cailiang; Wu, Yu; Xiao, Lin; Luo, Xiaofeng; Tian, Jinhui; Ge, Long; Luo, Chenling
通讯作者	Ge, L
来源期刊	ARCHIVES OF GYNECOLOGY AND OBSTETRICS
ISSN	0932-0067
EISSN	1432-0711
出版年	2023
卷号	308 期号:2 页码:387-401
英文摘要	Background Most women suffer from perineal trauma during childbirth, whether it is natural tears or episiotomy. Objectives To perform a systematic review and network meta-analysis investigating the effectiveness of different PFMT relevant strategies in the prevention of perineal trauma. Search strategy PubMed, Embase, the Cochrane Library, CINAHL, CNKI, CBM, WANFANG DATABASE, and ClinicalTrials.gov were searched for citations published in any language from inception to 1 July 2021. Selection criteria Randomized controlled trials (RCTs) of PFMT relevant prevention strategies for preventing perineal trauma during childbirth. Data collection and analysis Data were independently extracted by two reviewers. Relative treatment effects were estimated using network meta-analysis (NMA). Main results Of 12 632 citations searched, 21 RCTs were included. Comparing with usual care, PFMT combine with perineal massage and PFMT alone showed more superiority in intact perineum (RR = 5.37, 95% CI: 3.79 to 7.60, moderate certainty; RR = 2.58, 95% CI 1.34-4.97, moderate certainty, respectively), episiotomy (RR = 0.26, 95% CI 0.14-0.49, very low certainty; RR = 0.63, 95% CI 0.45-0.90, very low certainty, respectively), and OASIS (RR = 0.35, 95% CI 0.16-0.78, moderate certainty; RR = 0.49, 95% CI 0.28-0.85, high certainty, respectively). PFMT combine with perineal massage showed superiority in reducing perineal tear (RR = 0.41, 95% CI 0.20-0.85, moderate certainty). Conclusions In view of the results, antenatal PFMT combine with perineal massage and PFMT were effective strategies for the prevention of perineal trauma.
英文关键词	PFMT Perineal trauma Vaginal delivery Network meta-analysis
类型	Review
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000854671500002
WOS关键词	BIRTH TRAINER ; EPI-NO ; TRIAL ; CONSISTENCY ; PREGNANCY ; PROGRAM
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/395436
推荐引用方式 GB/T 7714	Cao, Xiao,Yang, Qiuyu,Wang, Qi,et al. PFMT relevant strategies to prevent perineal trauma: a systematic review and network meta-analysis[J],2023,308(2):387-401.
APA	Cao, Xiao.,Yang, Qiuyu.,Wang, Qi.,Hu, Shasha.,Hou, Liangying.,...&Luo, Chenling.(2023).PFMT relevant strategies to prevent perineal trauma: a systematic review and network meta-analysis.ARCHIVES OF GYNECOLOGY AND OBSTETRICS,308(2),387-401.
MLA	Cao, Xiao,et al."PFMT relevant strategies to prevent perineal trauma: a systematic review and network meta-analysis".ARCHIVES OF GYNECOLOGY AND OBSTETRICS 308.2(2023):387-401.