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Updated: Jan 8, 2026

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External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
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分娩第二期活動時間短縮(自然経腟分娩、プッシュ遅延施行)
Eléa Montfort1, Camille Nallet1, Sophie Cot1
1Department of Gynecology and Obstetrics, Besançon University Hospital, Besançon, France.
American journal of obstetrics and gynecology
|December 20, 2025
まとめ
自然経腟分娩における最大3時間のプッシュ遅延方針は、活動性プッシュ時間が15分未満となる結果をもたらした。このアプローチは、自然経腟分娩率の高さを支持し、器械的娩出の必要性を減少させる可能性がある。
科学分野:
- 産科婦人科、母体胎児医学、臨床産科
背景:
- 分娩第二期は、プッシュを特徴とし、自然経腟分娩における重要な段階である。成功した経腟分娩を目指しつつ、母体と胎児の健康のバランスを取るために、分娩第二期の持続時間を最適化することが不可欠である。遅延プッシュ方針は、転帰を改善し、介入を減らす可能性のために、ますます検討されている。
主な方法:
- 回顧的コホート研究には、在胎週数週数 singleton pregnancies、頭位の単胎妊娠10,565例が含まれた。データは2018年3月から2024年6月まで、フランスのブザンソン大学病院で収集された。プッシュ時間は、潜在性第二期の長さ、出産歴、胎児の位置/下降度、硬膜外麻酔の使用、陣痛誘発との関連で分析された。
結論:
- 完全な子宮頸管拡張後の最大3時間の遅延プッシュ方針は、15分未満の活動性プッシュ時間と関連している。このアプローチは、自然経腟分娩率の高さを支持する。本研究結果は、遅延プッシュが器械的経腟分娩の必要性を減少させる可能性を示唆している。
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