Miasnikova I G, Evdochenko I I, Bykova G F, Kurtsev M A, Solomatina A A
Akush Ginekol (Mosk). 1989 Sep(9):16-9.
A total of 65 women in labor complicated with uterine inertia were investigated for tissue pO2 and cardiac performance of fetuses under the effect of oxytocin. The authors stated that the aggravation of fetal status in drug-induced labors resulted from poorer tissue oxygenation caused by the activation of uterine contractility. In this line, hypoxic changes of the fetus were more pronounced in pregnancies complicated by nephropathy or prolonged pregnancy. Accurate monitoring of the fetal status and the character of induced labor course was found to be mandatory. Before oxytocin induction the fetus should be protected with diazepam.
对65例产程中合并子宫收缩乏力的产妇，在使用缩宫素的情况下，研究胎儿的组织氧分压和心脏功能。作者指出，药物引产时胎儿状况恶化是由于子宫收缩力增强导致组织氧合变差所致。在这方面，胎儿的缺氧变化在合并肾病或过期妊娠的孕妇中更为明显。发现准确监测胎儿状况和引产过程的特征是必不可少的。在使用缩宫素引产之前，应使用地西泮保护胎儿。
