里特根在分娩护理方面的机动:在意大利中部地区的病例对照研究
Simona Salusest1, Silvia Salvi1,2, Federica Totaro Aprile2
1UOC di Ostetricia e Patologia Ostetrica, Dipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario 'A. Gemelli', IRCCS, Roma, Italia.
European journal of midwifery
|November 4, 2024
概括
常规使用的Ritgen机动显著减少了阴道分娩期间周围的伤. 这种技术在降低生殖系统创伤的发生率和严重程度方面被证明是有效的,即使有诸如外周止痛等危险因素.
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
- 在产科的外科手术技术.
背景情况:
- 阴道分娩带来了生殖系统创伤和周围骨破伤的风险.
- 评估减轻分娩相关伤害的干预措施对于产妇护理至关重要.
研究的目的:
- 评估Ritgen机动在减少周围破伤的患病率和严重性的有效性.
- 为了比较Ritgen机动和传统的手动围保护 (MPP) 之间的结果.
主要方法:
- 一项前性病例控制研究,涉及116名妇女在 Fondazione Policlinico A. Gemelli,罗马,意大利.
- 研究组 (n=58) 使用了Ritgen机动,而对照组 (n=58) 接受了传统的手动围保护.
- 从电子医疗记录中收集和分析数据.
主要成果:
- 在Ritgen组中,22%的女性没有经周围裂,而在对照组中为5% (p=0.007).
- 里特根组显示了更多的第一级和更少的第二级撕裂.
- 减少了撕裂,即使在外围镇痛 (24%vs4.5%) 和催产素增强 (23.4%vs0%) 中也观察到.
结论:
- 里特根机动可能会降低分娩期间围破伤的发生率和严重程度.
- 这种技术即使存在诸如催产素或外周止痛等危险因素,也会带来好处.
- 常规实施Ritgen机动可以改善产科产妇的结果.
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