Vlachos Georgios, Tsikouras Panagiotis, Manav Bachar, Trypsianis Grigorios, Liberis Vasileios, Karpathios Sakellarios, Galazios Georgios
Department of Obstetrics and Gynecology, Democritus University of Thrace, Alexandroupolis, Greece.
Department of Obstetrics and Gynecology, Emeritus Assistant Professor, 1 University Alexandra Hospital, Athens, Greece.
J Turk Ger Gynecol Assoc. 2015 Aug 6;16(3):145-8. doi: 10.5152/jtgga.2015.15074. eCollection 2015.
To assess the contribution of a new type of partogram, used in labor monitoring, in caesarean section rates.
The study included term singleton uncomplicated pregnancies divided into two groups. Two types of partogram were used in labor monitoring. In the first group, the classical WHO partogram (A) was used. In the second group, a new type of partogram, in which cervical dilatation and the position of descending head (B) (one line) were estimated and reported, was used. The labor duration and caesarean section rates were calculated and compared in the two groups.
A statistically significant decrease in labor duration (from the initiation of the active phase of labor to the delivery time) (dt1+dt2+dt3) (p<0.001, A: median: 318.4±10.4 min, B: 246.56±8.28 min) and in caesarean section rates was noted (p<0.001, A: 89 vs B: 49).
The new type of partogram seems to have potential benefits such as reducing the incidence of prolonged labor and decreasing the caesarean section rates.
评估一种用于产程监测的新型产程图对剖宫产率的影响。
该研究纳入足月单胎无并发症妊娠并分为两组。产程监测采用两种产程图。第一组使用经典的世界卫生组织产程图（A）。第二组使用一种新型产程图，其中估计并报告宫颈扩张情况及胎头下降位置（B）（一条线）。计算并比较两组的产程时长和剖宫产率。
观察到产程时长（从产程活跃期开始至分娩时间）（dt1+dt2+dt3）有统计学意义的缩短（p<0.001，A组：中位数：318.4±10.4分钟，B组：246.56±8.28分钟），剖宫产率也有统计学意义的降低（p<0.001，A组：89例 vs B组：49例）。
新型产程图似乎具有潜在益处，如降低产程延长的发生率并降低剖宫产率。
