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[临床骨盆测量在机械性难产评估中的批判性评价]

[Critical assessment of clinical pelvimetry in the estimation of mechanical dystocia].

作者信息

Dumitrache Fl, Gafiţanu D, Chelemen Oana

机构信息

Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Clinica a III-a Obstetrică Ginecologie.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2004 Oct-Dec;108(4):809-11.

Abstract

The authors followed 82 cesarean sections done for negative labor trial during one year in the Maternity "Elena Doamna" Iaşi. Each case was assessed after age, obstetrical history, labor trial, presentation, weight and Apgar score of the new born. Internal or external pelvimetry had sometimes advantages but also restrictions because many etiologies of mechanical dystocia of the labor disappeared. Therefore even now with normal clinical pelvimetry and normal fetuses a labor trial can be negative.

摘要

作者对雅西“埃琳娜夫人”妇产医院一年内因引产失败而行的82例剖宫产病例进行了跟踪研究。对每例病例均根据产妇年龄、产科病史、引产情况、胎位、新生儿体重及阿氏评分进行评估。内测量法或外测量法有时有优势,但也有局限性,因为许多产程机械性难产的病因已不复存在。因此,即使现在临床骨盆测量正常且胎儿正常,引产仍可能失败。

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