相关实验视频
Updated: Jan 15, 2026

08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
15.8K
[在非常或极度早产的情况下,部呈现的分娩方式]
Gilles Kayem1, Loic Sentilhes2
1Hôpital Trousseau, AP-HP, Sorbonne Université, Paris, France; OPPaLE. Obstetric, Perinatal, Paediatric Life Course Epidemiology, CRESS Paris Cité, Paris, France.
Gynecologie, obstetrique, fertilite & senologie
|October 11, 2025
概括
对于非常早产的腹分娩,剖腹产和阴道分娩都没有明显优越新生儿的结果. 证据有限,必须仔细权衡对母亲和婴儿的风险.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿周产医学 新生儿周产医学
- 临床证据综合研究
背景情况:
- 对于非常早产的部表现的分娩方式缺乏共识.
- 现有的随机试验有限;证据主要来自潜在偏差的观察性研究.
研究的目的:
- 为了评估最优的交付模式非常早或极早的部呈现.
- 综合有关不同分娩方式新生儿死亡率,发病率和长期后果的证据.
主要方法:
- 观察队列的分析 (例如,EPIPAGE 1和2).
- 对元分析的审查,包括2024年关于单体部分娩的报告.
- 评估证据偏差,特别是指示偏差.
主要成果:
- 在新生儿死亡率或发病率方面,计划性剖腹产与计划性阴道分娩没有明显的优势.
- 在阴道后分娩中,经过头部被困后存在的死亡风险是有记录的,尽管很少见.
- 2024年的一项元分析表明,剖腹产减少了死亡率,但这是由偏见的研究驱动的.
结论:
- 目前的证据并没有明确地推一种交付方式超过另一个非常早产的部呈现.
- 平衡产生的新生儿风险与剖腹产的孕产妇和随后的怀孕风险至关重要.
- 需要进一步的高质量研究来指导临床实践.
相关概念视频
Anatomical Positions
18.8K
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
18.8K
Drug Delivery: Parenteral Route
1.5K
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
1.5K
Endotracheal Intubation I: Procedure
7.4K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
7.4K
Drug Delivery: Overview
723
The selection of a drug's delivery route depends upon its physicochemical properties, including lipid or water solubility and ionization, as well as the therapeutic requirement, such as immediate or sustained effect. These routes can be divided into three primary categories: enteral, parenteral, and topical.
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
723
Fetal Circulation
2.6K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
2.6K
Drug Delivery: Enteral Route
1.6K
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
1.6K

