Lee Lily, Dy Jessica, Azzam Hussam
Vancouver BC.
Ottawa ON.
J Obstet Gynaecol Can. 2016 Sep;38(9):843-865. doi: 10.1016/j.jogc.2016.04.093. Epub 2016 Jun 25.
The purpose of this guideline is to provide guidance for the intrapartum management of spontaneous labour, whether normal or abnormal, in term, healthy women, and to provide guidance in the management of first and second stage dystocia to increase the likelihood of a vaginal birth and optimize birth outcomes.
Published literature was retrieved through searches of PubMed and the Cochrane Library in October 2011 using appropriate, controlled vocabulary (e.g., labour pain; labour, obstetric; dystocia) and key words (e.g., obstetric labor, perineal care, dysfunctional labor). When appropriate, results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. Results were limited to the last 10 years. Searches were updated on a regular basis and incorporated in the guideline up to June 15, 2015.
The quality of evidence in this document was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care (Table 1).
RECOMMENDATIONS.
本指南旨在为足月健康产妇自然分娩（无论正常与否）的产时管理提供指导，并为第一产程和第二产程难产的管理提供指导，以增加阴道分娩的可能性并优化分娩结局。
2011年10月通过检索PubMed和Cochrane图书馆，使用适当的受控词汇（如分娩疼痛；产科分娩；难产）和关键词（如产科分娩、会阴护理、分娩功能障碍）检索已发表的文献。在适当情况下，结果仅限于系统评价、随机对照试验/对照临床试验和观察性研究。结果限于最近10年。检索定期更新，并纳入截至2015年6月15日的指南。
本文件中的证据质量使用加拿大预防保健特别工作组报告中描述的标准进行评级（表1）。
建议。
