实施超声波:多中心可行性研究
概括
超声波对分娩进展的评估,包括胎儿位置和宫扩张,是可行的,与阴道检查相比,减少了疼痛. 这种方法可能会取代一些传统的劳动力评估.
科学领域:
- 产科和妇科 产科和妇科
- 医疗成像医学成像
- 劳动和交付管理 劳动和交付管理
背景情况:
- 常规劳动进度评估依赖于腹部触摸和阴道检查 (VE).
- 阴道检查是主观的,难以复制,对女性来说可能是痛苦的.
- 需要更客观,更舒适的方法来监测分娩的进展.
研究的目的:
- 评估整合跨腹腔和跨腹腔超声波的可行性,以监测分娩进展.
- 用超声波来评估胎儿的位置,副的进展角度 (psAOP),头 - 腹膜距离 (HPD) 和超声波宫扩张 (SCD).
- 为了确定超声波是否可以减少劳动检查期间的疼痛.
主要方法:
- 招募了100名正在进行引产 (IOL) 的女性.
- 进行了组合的横腹腔和横膜超声波扫描,以评估各种胎儿和宫的参数.
- 除非临床上有指示外,产后扫描取代了VE;记录了疼痛得分.
主要成果:
- 在87名参与者中进行了223次产后超声波扫描.
- 超声波扫描的中位疼痛评分为0,而VE的中位疼痛评分为3.
- 剖腹产与psAOP,HPD和SCD的变化速度较慢有关.
结论:
- 综合超声波评估是可行的监测劳动进展.
- 与阴道检查相比,超声波显著减少疼痛.
- 超声波可能会在分娩期间取代一些传统的腹腔和阴道检查.
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