Department of Obstetrics, Zurich University Hospital, Zurich, Switzerland.
J Perinat Med. 2010 Mar;38(2):173-7. doi: 10.1515/jpm.2010.032.
To measure puerperal symphysis fundus distance (SFD) by two manual methods and to calculate individual normal values.
Prospective cohort study including women after single pregnancy without special problems in uterine involution.
SFD was daily measured on the 1(st)-5(th) postpartum days by counting the number of midwife's fingers put horizontally on the mother's abdomen and by a paper tape, respectively. Linear mixed model analysis was performed to determine SFD normal values.
Independent variables determining the SFD on different days after delivery were the gestational age and the delivery mode (finger method) and the maternal age, body mass index (BMI), delivery mode and birth weight (tape method). Individual normal values were calculated by regression equation including the coefficients for the independent variables.
Puerperal SFD values measured by tape have more independent variables than those measured by fingers and reflect better the actual situation of the patient. It should be verified whether values deviating from normal values of tape measurements may prevent postpartum complications.
通过两种手动方法测量产后耻骨联合宫底距离（SFD），并计算个体正常值。
包括单胎妊娠后无子宫复旧特殊问题的妇女的前瞻性队列研究。
分别通过数横放在产妇腹部上的助产士手指数和用纸带，在产后第 1 天至第 5 天每天测量 SFD。采用线性混合模型分析确定 SFD 的正常值。
决定不同产后天数 SFD 的独立变量为胎龄和分娩方式（手指法）以及产妇年龄、体重指数（BMI）、分娩方式和出生体重（纸带法）。通过包含独立变量系数的回归方程计算个体正常值。
用纸带测量的产后 SFD 值比用手指测量的有更多的独立变量，并且更好地反映了患者的实际情况。需要验证偏离纸带测量正常值的值是否可以预防产后并发症。
