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步骤6：不常规采用无科学证据支持的做法、程序：改善孕产妇服务联盟

Step 6: does not routinely employ practices, procedures unsupported by scientific evidence: the coalition for improving maternity services:

作者信息

Goer Henci, Sagady Leslie Mayri, Romano Amy

出版信息

J Perinat Educ. 2007 Winter;16 Suppl 1(Suppl 1):32S-64S. doi: 10.1624/105812407X173182.

DOI:10.1624/105812407X173182
PMID:18523680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2409136/
Abstract

Step 6 of the Ten Steps of Mother-Friendly Care addresses two issues: 1) the routine use of interventions (shaving, enemas, intravenous drips, withholding food and fluids, early rupture of membranes, and continuous electronic fetal monitoring; and 2) the optimal rates of induction, episiotomy, cesareans, and vaginal births after cesarean. Rationales for compliance and systematic reviews are presented.

摘要

关爱母亲十步骤中的第六步涉及两个问题

1）常规使用的干预措施（剃毛、灌肠、静脉滴注、禁食禁水、胎膜早破以及持续电子胎儿监护）；2）引产、会阴切开术、剖宫产以及剖宫产术后阴道分娩的最佳比例。文中给出了遵循这些措施的理由以及系统评价。

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Step 6: does not routinely employ practices, procedures unsupported by scientific evidence: the coalition for improving maternity services:步骤6：不常规采用无科学证据支持的做法、程序：改善孕产妇服务联盟
J Perinat Educ. 2007 Winter;16 Suppl 1(Suppl 1):32S-64S. doi: 10.1624/105812407X173182.
2
Delivery for women with a previous cesarean: guidelines for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF).有剖宫产史产妇的分娩：法国妇产科医生学院（CNGOF）临床实践指南。
Eur J Obstet Gynecol Reprod Biol. 2013 Sep;170(1):25-32. doi: 10.1016/j.ejogrb.2013.05.015. Epub 2013 Jun 28.
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Labor characteristics and intrapartum interventions in women with vaginal birth after cesarean section.剖宫产后阴道分娩的产妇的产时特点和产时干预措施。
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Are routine interventions necessary in normal birth?正常分娩时常规干预措施有必要吗？
Taiwan J Obstet Gynecol. 2006 Dec;45(4):302-6. doi: 10.1016/S1028-4559(09)60247-3.
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The rational management of labor.
Am Fam Physician. 1993 May 1;47(6):1471-81.
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Risk indicators for obstetrical anal sphincter injury in vaginal birth after caesarean section compared to first vaginal delivery.剖宫产术后阴道分娩与首次阴道分娩的产科肛门括约肌损伤风险指标比较。
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Mechanical induction of labor and ecbolic-less vaginal birth after cesarean section: A cohort study.剖宫产术后引产及非催产素促宫颈成熟的阴道分娩：一项队列研究。
Taiwan J Obstet Gynecol. 2018 Jun;57(3):421-426. doi: 10.1016/j.tjog.2018.04.017.
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Use of routine interventions in vaginal labor and birth: findings from the Maternity Experiences Survey.阴道分娩中常规干预措施的使用：来自孕产妇经历调查的结果。
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Establishment of an antepartum predictive scoring model to identify candidates for vaginal birth after cesarean.建立一种产前预测评分模型，以识别适合剖宫产术后阴道分娩的候选者。
BMC Pregnancy Childbirth. 2020 Oct 20;20(1):639. doi: 10.1186/s12884-020-03231-0.

引用本文的文献

1
First, do no harm: how routine interventions, common restrictions, and the organization of our health-care system affect the health of mothers and newborns.首先，勿伤为先：常规干预措施、常见限制因素以及我们医疗保健系统的组织方式如何影响母亲和新生儿的健康。
J Perinat Educ. 2009 Summer;18(3):58-62. doi: 10.1624/105812409X461243.
2
Safe, healthy birth: what every pregnant woman needs to know.安全、健康分娩：每位孕妇需要了解的事项。
J Perinat Educ. 2009 Summer;18(3):48-54. doi: 10.1624/105812409X461225.
3
Research summaries for normal birth.
J Perinat Educ. 2008 Fall;17(4):52-6. doi: 10.1624/105812408X364107.
4
Care practice #4: no routine interventions.护理实践 #4：不进行常规干预。
J Perinat Educ. 2007 Summer;16(3):29-34. doi: 10.1624/105812407X217129.
5
Care practice #1: labor begins on its own.护理实践#1：自然发动分娩。
J Perinat Educ. 2007 Summer;16(3):16-20. doi: 10.1624/105812407X217093.
6
Position paper: promoting, supporting, and protecting normal birth.立场文件：促进、支持和保护自然分娩。
J Perinat Educ. 2007 Summer;16(3):11-5. doi: 10.1624/105812407X217084.

本文引用的文献

1
Fertility, family planning, and reproductive health of U.S. women: data from the 2002 National Survey of Family Growth.美国女性的生育力、计划生育与生殖健康：来自2002年全国家庭成长调查的数据
Vital Health Stat 23. 2005 Dec(25):1-160.
2
Maternal complications with vaginal birth after cesarean delivery: a multicenter study.剖宫产术后经阴道分娩的母体并发症：一项多中心研究。
Am J Obstet Gynecol. 2005 Nov;193(5):1656-62. doi: 10.1016/j.ajog.2005.04.002.
3
Risks of induction of labour in women with a uterine scar from previous low transverse caesarean section.既往行低位横切口剖宫产术后子宫有瘢痕的女性引产的风险。
BJOG. 2004 Dec;111(12):1394-9. doi: 10.1111/j.1471-0528.2004.00287.x.
4
Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery.既往剖宫产术后试产相关的母儿结局
N Engl J Med. 2004 Dec 16;351(25):2581-9. doi: 10.1056/NEJMoa040405. Epub 2004 Dec 14.
5
Uterine rupture, perioperative and perinatal morbidity after single-layer and double-layer closure at cesarean delivery.剖宫产单层和双层缝合后的子宫破裂、围手术期及围产期发病率
Am J Obstet Gynecol. 2003 Oct;189(4):925-9. doi: 10.1067/s0002-9378(03)01056-1.
6
Spontaneous versus induced labor after a previous cesarean delivery.既往剖宫产术后自然分娩与引产
Obstet Gynecol. 2003 Jul;102(1):39-44. doi: 10.1016/s0029-7844(03)00355-7.
7
First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar.孕早期植入子宫下段剖宫产瘢痕处妊娠的诊断与处理
Ultrasound Obstet Gynecol. 2003 Mar;21(3):220-7. doi: 10.1002/uog.56.