正常分娩定义与产程研究进展

摘要
图/表
参考文献
相关文章 (0)

全文: PDF (331 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要复习有关正常分娩的研究,发现有关产程时限性研究存有较大争议,临产的起点判断比较困难,而活跃期和第二产程的时限,各种文献资料中相差很大,各国的管理原则也有很大的不同。目前临床延用的以Friedman研究为基础的产程管理,时限可能过于严格,并且没有证据表明这种严格的时限性管理对母儿结局有益。我国常规的平卧位分娩、指导下的用力方式,不利于自然分娩;临床中产程管理原则存在过于求快的现象。时代在变化,人群的特征也发生了重大改变,有可能影响产程的进展。因此,认为有必要开展自然产程的多中心临床研究,重新界定产程的生理特征,重视临产的管理和产程延长的判断,鼓励产妇自由体位分娩,促进自然分娩。如果产程在进展,母子情况良好,不应单纯因时限原因而决定剖宫产或阴道助产。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	张宏玉
	张惠欣

关键词 ：正常分娩, 临产诊断, 活跃期, 第二产程主动期

收稿日期: 2013-03-02

引用本文:

张宏玉, 张惠欣. 正常分娩定义与产程研究进展[J]. 中国生育健康杂志, 2014, 25(2): 189-192.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2014/V25/I2/189

1 World Health Organization Maternal Health and Safe Motherhood Programme.World Health Organization partograph in management of labour.Lancet,1994,343:1399-1404.
2 Gould D.Normal labour:a concept analysis.J Adv Nurs,2000,31:418-427.
3 The Society of Obstetricians and Gynaecologists of Canada(SOGC),The Association of Women’s Health,Obstetric and Neonatal Nurses of Canada(AWHONN),The Canadian Association of Midwives(CAM),The College of Family Physicians of Canada(CFPC),The Society of Rural Physicians of Canada(SRPC).Joint policy Statement on normal childbirth .J Obestet Gynaecol Can 2008:30:1163-1165.
4 Friedman E.Graphic analysis of labour.Am J Obstet Gynecol,1954,68:1568-1575.
5 Albers LL,Schiff M,Gorwoda JG.The length of active labor in normal pregnancies.Obstet Gynecol.1996,87:355-359.
6 王淑雯,主编.中国产科生理常数研究与难产的防治.天津:天津科学技术出版社,2000:444.
7 刘佩秋,李详铭.活跃期伴行产程图的设计和应用.山东医药,1986,7:16-18.
8 Enkin M,Keirse M,Neilson J,et al.A Guide to Effective Care in Pregnancy and Childbirth.2nd edn.Oxford:Oxford University Press,1995:544.
9 Lavender T,Hart A,Smyth RM.Effect of partogram use on outcomes for women in spontaneous labour at term.Cochrane Database of Syst Rev,2012,8:CD005461.doi:10.1002/14651858.CD005461.pub3.
10 杨玲.近20年产程时限变化的meta分析.2012,南京大学研究生论文.
11 Somprasit C,Tanprasertkul C,Kamudhamas A.Reducing cesarean delivery rates:an axtive management labor program in a setting with limited resources.J Med Assoc Thai,2005,88:20-25.
12 Zhang J,Landy HJ,Branch DW,et al.Contemporary Patterns of SpontaneousLabor With Normal Neonatal Outcomes.Obstet Gynecol,2010,116:1281-1287.
13 Pregnancy,Childbirth,Postpartum and Newborn Care:A guide for essential practice.World Health Organization.Geneva ,2006,D11.
14 National Institute for Health and Clinical Excellence.NICE clinical guideline 55,Intrapartum care:care of healthy women and their babies during childbirth.Developed by the National Collaborating Centre for Women's and Children's Health.2007.www.nice.org.uk
15 Myles TD,Santolaya J.Maternal and Neonatal Outcomes in Patients With a Prolonged Second Stagte of Labor.Obstet Gynecol,2003,102:52-58.
16 Menticoglou SM,Mannin F,Harman C,et al.Perinatal outcome in relation to second-stage duration.Am J Obstet Gynecol,1995,173:906-912.
17 Hendricks CH,Brenner WE.Kraus G.Normal cervical dilation pattern in late pregnancy and labour.Am J Obstet Gynecol,1970,106:1065-1082.
18 Lauzon L,Hodnett E.Labour assessment programs to delay admission to labour wards.Cochrane Database Syst Rev.2001,3:CD000936.DOI:10.1002/14651858.
19 Rahnama P,Ziaei S,Faghihzadeh S.Impact of early admission in labor on method of delivery.Int J Obstet Gynecol,2006,92:217-220.
20 达生篇.[清]亟斋居士,撰,潘远根,主篇.中华医书集成第十五册,中医古籍出版社,56.
21 Cunningham F,Leveno K,Bloom S,et al.Williams Obstetrics.23rd ed.New York,N.Y.:The McGraw-Hill Companies,2010:544-564.
22 丁玉华.活跃期应用山莨菪碱配合手法扩张宫颈加速产程进展的临床观察.临床合理用药,2011,4:58-59.
23 朱锦容,马宝满.计划分娩200 例的观察与护理.中国实用医药,2011,6:228-229.
24 赵欣,戴钟英.近10 年新生儿出生体重变化趋势的分析.上海医学,2001,24:370-372.
25 石琪,漆洪波.产程图研究进展.中国实用妇科与产科杂志,2013,29:68-70.
26 章小维,杨慧霞.头位难产识别与处理.中国实用妇科与产科杂志,2012,28:85-86.
27 乐杰,主编.妇产科学.第7版,北京:人民卫生出版社,2008:71.
28 Gupta JK,Nikodem C.Maternal posture in labour.Eur J Obstet Gynecol Reprod Biol.2000,92:273-277.
29 Brancato RM,Church S,Stone PW.A Meta-Analysis of Passive Descent Versus Immediate Pushing in Nulliparous Women With Epidural Analgesia in the Second Stage of Labor .J Obstet Gynecol Neonatal Nurs.2008,37:4-12.