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初产妇分娩的管理。

The management of labour in the primiparous patient.

出版信息

Can Fam Physician. 1986 Oct;32:2129-33.

Abstract

Dystocia continues to be the leading indication for caesarean birth. The active management of labour as developed in Dublin is one approach that could be applied to the problem. It is not generally appreciated, however, that the word 'active' describes the active involvement of the consultant obstetrician and not medical intervention with oxytocin infusions. In this article, the Dublin protocol is reviewed in broad perspective and is compared to more traditional North American methods of dealing with dysfunctional labour.

摘要

难产仍然是剖宫产的主要指征。都柏林发展的积极分娩管理是一种可以应用于该问题的方法。然而,人们通常没有意识到,“积极”一词描述的是顾问产科医生的积极参与,而不是使用催产素输注的医疗干预。在本文中,从广泛的角度回顾了都柏林方案,并将其与北美更传统的处理功能失调性分娩的方法进行了比较。

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本文引用的文献

1
Normal cervical dilatation pattern in late pregnancy and labor.
Am J Obstet Gynecol. 1970 Apr 1;106(7):1065-82. doi: 10.1016/s0002-9378(16)34092-3.
3
Identification of high risk labours by labour nomogram.通过产程列线图识别高危分娩
Br Med J. 1975 Jun 7;2(5970):545-7. doi: 10.1136/bmj.2.5970.545.

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