Skrablin Snjezana, Kalafatić Drzislav, Goluza Trpimir, Zagar Leo
Klinika za zenske bolesti i porode KBC-a Zagreb i Medicinskog fakulteta Sveucilista u Zagrebu, Petrova 13, 10000 Zagreb.
Lijec Vjesn. 2002 Jan-Feb;124(1-2):30-5.
The problem of labor and delivery, either at term or occurring prematurely, are among the greatest problems facing physicians nowadays. The understanding of the process of preparation and initiation of active labor is of utmost importance. Currently, the clinical methods to assess the changes of the uterus and cervix are still subjective, inaccurate and crude. Fortunately, a noninvasive method of transabdominal uterine muscle electrical activity analysis (electromiography, EMG) is digitalized and standardized in recognizing uterine contractility, and biochemical changes, as well as ultrasound and fluorescent methods, are emerging to estimate cervical preparation prior to active labor. Studies in humans indicate that uterine and cervical function an be accurately monitored during pregnancy and during the preparation for labor. In the review article all aspects of uterine muscle and uterine cervix architecture, preparation for labor and control of these processes are presented. The development of new methods of diagnosis for the patient in labor will improve our ability to diagnose preterm labor early enough to undertake all kinds of scientifically based methods and strategies specifically for the management of this condition.
足月分娩或早产的问题是当今医生面临的最大问题之一。了解分娩发动的准备过程至关重要。目前，评估子宫和宫颈变化的临床方法仍然主观、不准确且粗糙。幸运的是，一种经腹子宫肌电活动分析的非侵入性方法（肌电图，EMG）在识别子宫收缩力、生化变化方面已实现数字化和标准化，并且出现了超声和荧光方法来评估分娩发动前的宫颈准备情况。人体研究表明，在妊娠期间和分娩准备期间，可以准确监测子宫和宫颈功能。在这篇综述文章中，介绍了子宫肌和子宫颈结构、分娩准备以及这些过程的控制等各个方面。为分娩患者开发新的诊断方法将提高我们尽早诊断早产的能力，从而能够采取各种基于科学的方法和策略来专门管理这种情况。
