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患者观察:分娩时膝胸卧位有助于枕后位胎儿旋转吗?

The patient observer: does the hands-and-knees posture during labor help to rotate the occiput posterior fetus?

作者信息

Biancuzzo M

出版信息

Birth. 1991 Mar;18(1):40-7. doi: 10.1111/j.1523-536x.1991.tb00053.x.

DOI:10.1111/j.1523-536x.1991.tb00053.x
PMID:2006961
Abstract

Retrospective chart review was conducted for four low-risk women with full-term, healthy fetuses in the occiput posterior position. The first woman pushed for over two hours and delivered a 6 lb, 8 3/4 oz baby by cesarean section. The second woman delivered a 5 lb, 2 3/4 oz baby posteriorly by vacuum extraction and had a third-degree laceration. The third and fourth women both assumed the hands-and-knees posture during labor; their infants weighted 7 lb, 7 3/4 oz and 7 lb, 11 3/4 oz, respectively. Both of these fetuses rotated to the anterior position and were born spontaneously without complications.

摘要

对四名低风险、足月、胎儿健康且处于枕后位的女性进行了回顾性病历审查。第一名女性用力超过两小时,最终通过剖宫产分娩出一个体重6磅8又3/4盎司的婴儿。第二名女性通过真空吸引器后位分娩出一个体重5磅2又3/4盎司的婴儿,并伴有三度撕裂伤。第三名和第四名女性在分娩过程中均采用了手膝位姿势;她们的婴儿体重分别为7磅7又3/4盎司和7磅11又3/4盎司。这两个胎儿均转为前位并自然分娩,无并发症。

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引用本文的文献

1
Randomised controlled trial of effect of hands and knees posturing on incidence of occiput posterior position at birth.手膝位姿势对出生时枕后位发生率影响的随机对照试验
BMJ. 2004 Feb 28;328(7438):490. doi: 10.1136/bmj.37942.594456.44. Epub 2004 Jan 26.