视觉生物反可缩短分娩的第二阶段:随机对照试验
E Preuss1,2, A De Porto1,2, I Zisman1,2
1Department of Obstetrics and Gynecology, Samson Assuta Ashdod University Hospital, Ashdod, Israel.
概括
在分娩期间的视觉生物反并没有缩短分娩的第二阶段或降低仪器分娩率. 然而,它确实改善了胎儿在母亲推动期间的头部下降,这表明对分娩进展的潜在好处.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医学超声波应用 医学超声波应用
背景情况:
- 劳动的第二阶段可以延长,可能会增加对仪器分娩的需求.
- 使用跨膜超声波的视觉生物反已被探索为改善母亲推进效率的干预措施.
研究的目的:
- 评估分娩期间的视觉生物反是否可以缩短第二阶段.
- 为了确定视觉生物反是否减少了仪器传递的要求.
- 评估视觉生物反对胎儿头部进展在推动过程中的影响.
主要方法:
- 一个单一中心的随机对照试验,涉及外周麻醉下无孕妇女.
- 参与者被随机分配到生物反组 (n=50) 或对照组 (n=50).
- 生物反组在训练推力过程中观察到跨膜超声波图像,而对照组没有.
主要成果:
- 在生物反和对照组 (2.28对2.08小时) 之间,分娩第二阶段的持续时间没有显著差异.
- 在推动过程中,在生物反组中观察到胎儿头部下降 (进展角度) 显著增加.
- 在两组中报告的完整周围的比例相似 (12%对8%).
结论:
- 视觉生物反可能会在分娩的第二阶段在母亲的推动过程中增强胎儿的头部下降.
- 生物反干预的短时间可能解释了对第二阶段总体持续时间缺乏影响.
- 建议进行进一步的研究,以调查整个分娩的第二阶段持续的视觉生物反.
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