优化第二阶段的长度和推动的管理
Alison G Cahill1, George A Macones1
1Department of Women's Health, The University of Texas at Austin, Dell Medical School, Austin, TX.
American journal of obstetrics and gynecology
|March 10, 2024
概括
第二个分娩阶段的最佳持续时间是未知的,但更长的持续时间与增加的孕产妇和新生儿并发症有关. 建议安全地缩短这个阶段,特别是使用神经轴麻醉.
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
背景情况:
- 劳动第二阶段的理想持续时间仍未确定.
- 有证据表明,延长的第二阶段与增加的孕产妇/新生儿发病率之间存在相关性.
研究的目的:
- 审查关于劳动第二阶段最佳持续时间的证据.
- 确定安全地缩短第二阶段的策略,以减少并发症.
主要方法:
- 关于分娩时间和结果的第二阶段现有证据的文献综述.
- 分析影响第二阶段长度和相关疾病的因素.
主要成果:
- 劳动第二阶段的持续时间增加与更高的孕产妇和新生儿死亡率有关.
- 在神经动脉麻醉患者中,启动完全扩张的推动是缩短第二阶段的建议策略.
结论:
- 基于证据的策略,以安全地缩短分娩的第二阶段是明智的.
- 需要进一步的研究,以优化劳动的第二阶段的管理.
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