在宫颈完全扩张的剖宫产术中使用胎儿枕抬高胎头的随机对照试验。
Randomized controlled trial of elevation of the fetal head with a fetal pillow during cesarean delivery at full cervical dilatation.
作者信息
Seal Subrata L, Dey Alok, Barman Sannyashi C, Kamilya Gourisankar, Mukherji Joydev, Onwude Joseph L
机构信息
Department of Obstetrics and Gynaecology, R. G. Kar Medical College, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.
Bankura Sammilani Medical College, Bankura, West Bengal, India.
出版信息
Int J Gynaecol Obstet. 2016 May;133(2):178-82. doi: 10.1016/j.ijgo.2015.09.019. Epub 2016 Jan 15.
OBJECTIVE
To evaluate whether use of the Fetal Pillow (Safe Obstetric Systems, Shenfield, UK) affects maternal and fetal morbidity in cesarean delivery at full cervical dilatation.
METHODS
A randomized controlled trial was conducted at two teaching hospitals in West Bengal, India, between April 1, 2013, and March 31, 2014. Women undergoing cesarean delivery at full dilatation were enrolled and randomly assigned with computer-generated random numbers (block size 10) to undergo delivery with or without the Fetal Pillow. Group assignment was not masked. The primary outcome was the incidence of major uterine wound extensions (grade 2-3).
RESULTS
Overall, 120 women were assigned to each group. Major uterine wound extensions occurred in 6 (5.0%) women in the Fetal Pillow group and 39 (32.5%) in the control group (relative risk 0.23, 95% confidence interval 0.11-0.48).
CONCLUSION
Use of the Fetal Pillow in second-stage cesarean delivery significantly reduces the risk of a major extension of the uterine incision. CTRI registration number: CTRI/2015/03/005651.
目的
评估使用胎儿枕（英国申菲尔德安全产科系统公司）是否会影响宫颈完全扩张时剖宫产的母婴发病率。
方法
2013年4月1日至2014年3月31日期间，在印度西孟加拉邦的两家教学医院进行了一项随机对照试验。纳入宫颈完全扩张时行剖宫产的妇女，并使用计算机生成的随机数（区组大小为10）将其随机分配，分别在使用或不使用胎儿枕的情况下进行分娩。分组未设盲。主要结局是子宫伤口严重延长（2 - 3级）的发生率。
结果
总体而言，每组分配了120名妇女。胎儿枕组有6名（5.0%）妇女发生子宫伤口严重延长，对照组有39名（32.5%）（相对风险0.23，95%置信区间0.11 - 0.48）。
结论
在第二阶段剖宫产中使用胎儿枕可显著降低子宫切口严重延长的风险。临床试验注册编号：CTRI/2015/03/005651。
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