Pontonnier G, Puech F, Grandjean H, Rolland M
Biol Neonate. 1975;26(3-4):159-73. doi: 10.1159/000240727.
A statistical study of parameters of uterine contraction, fetal heart rate, acid-base balance and glycaemia has been made in 30 patients during spontaneous and clinically normal labour for each 2 cm of cervical dilatation. The study of uterine contractility gives the mean values and 95% limits of parameters of uterine contraction as labour progresses. The fetal heart rate is stable during dilation, on the other hand, during the expulsive phase, alterations of fetal heart rate appear, modifications which give evidence of trial that expulsive phase is for the fetus. The study of fetal and maternal acid-base balance shows little change during cervical dilatation, changes towards acidosis during expulsive phase, as importance of feto-maternal relationships. These relationships meet again on the study of glycaemia.
对30例产妇在自然且临床正常分娩过程中,宫颈每扩张2厘米时的子宫收缩参数、胎儿心率、酸碱平衡和血糖水平进行了统计学研究。随着产程进展,对子宫收缩力的研究给出了子宫收缩参数的平均值及95%的置信区间。在宫颈扩张期胎儿心率稳定,另一方面,在胎儿娩出期,胎儿心率出现变化,这些变化证明了胎儿娩出期对胎儿来说是个考验。对胎儿和母体酸碱平衡的研究表明,在宫颈扩张期变化不大,在胎儿娩出期则向酸中毒方向变化,这体现了母婴关系的重要性。在对血糖水平的研究中也再次体现了这些关系。