"首先不要伤害":分娩期间的基本压力-它有多安全?
概括
经过培训的专业人员在分娩期间施加的底部压力 (FP) 对母亲或新生儿没有增加风险. 这项研究没有发现与FP使用相关的显著的孕产妇或新生儿不良结果.
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
- 临床产科 临床产科
背景情况:
- 资金压力 (FP) 是一种产科机动,具有争论的好处和风险.
- 关于FP应用对母亲和新生儿的结果,存在有限的强有力的证据.
- 这项研究解决了在分娩的第二阶段对FP安全性的证据的需求.
研究的目的:
- 评估与分娩第二阶段的 fundal 压力 (FP) 相关的孕产妇和新生儿结果.
- 为了比较涉及FP的交付和匹配的对照组之间的结果.
- 为了确定FP,当被训练有素的产科医生应用时,是否与不良事件有关.
主要方法:
- 一个病例控制研究设计,比较阴道分娩与FP (FP组) 与匹配的对照 (1:1).
- 匹配标准包括妊娠年龄,平价和分娩方式 (真空提取或阴道分娩).
- 综合的不良孕产妇结果包括严重的围流,肩膀缩,产后出血,长时间住院治疗或过度使用止痛药.
主要成果:
- 在12,048件交付中,有325件 (2.7%) 涉及FP.
- 在FP组有更高的劳动诱导率,催产素增强和延长的第二阶段劳动.
- 两组之间在产后出血,母体综合不良结果或新生儿早期结果方面没有发现显著差异.
结论:
- 经过训练有素的产科医生根据协议施加的底部压力与不良的产科,孕产妇或新生儿结局无关.
- 这些发现表明,FP可以在特定条件下安全地使用.
- 进一步的研究可能会探索FP使用的最佳技术和指示.
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