Suzuki Shunji
Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital , Tokyo , Japan.
J Matern Fetal Neonatal Med. 2015 Mar;28(5):519-21. doi: 10.3109/14767058.2014.921901. Epub 2014 May 29.
We examined the perinatal outcomes of twin deliveries following selective uterine fundal pressure maneuver (UFPM) during the second stage of the first twin delivery.
At our institute, if non-reassuring fetal heart rate and/or maternal exhaustion were observed during the second stage of the first twin, selective UFPM was performed following making sure of the position of the first twin's buttocks by ultrasonography. We reviewed the obstetric records of all cases of trial of vaginal delivery of twins between 2002 and 2012.
A total of 64 cases were evaluated for the statistical analyses. Of these, selective UFPM for the first twin was performed in 15 cases (24%). Although the cases requiring selective UFPM for the first twin was associated with an increased postpartum hemorrhage, there were no significant differences in neonatal outcomes between the two groups.
There was no evidence that the selective UFPM is unsafe for both mother and two babies during the second stage of the first twin delivery.
我们研究了在第一个胎儿分娩第二产程中采用选择性子宫底加压手法（UFPM）后的双胎分娩围产期结局。
在我们研究所，如果在第一个胎儿的第二产程中观察到胎心异常和/或产妇衰竭，在通过超声确定第一个胎儿臀部位置后进行选择性UFPM。我们回顾了2002年至2012年间所有双胎阴道分娩试验病例的产科记录。
共有64例病例纳入统计分析。其中，15例（24%）对第一个胎儿进行了选择性UFPM。虽然第一个胎儿需要选择性UFPM的病例产后出血增加，但两组新生儿结局无显著差异。
没有证据表明在第一个胎儿分娩第二产程中选择性UFPM对母亲和两个婴儿不安全。
