耻骨联合上缘子宫底高度可预测引产的困难进展。
Symphysis-fundal height predicts difficult evolution of induced labours.
作者信息
Indraccolo Ugo, Nardocci Lia, Di Iorio Romolo, Bonito Marco, Indraccolo Salvatore Renato
机构信息
.
出版信息
Acta Biomed. 2016 Jan 16;87(3):266-270.
BACKGROUND AND AIM
Symphysis-fundal-height (SFH) could be prove useful for the management of labour. This study aims to assess the behaviour of induced labours in relationship with SFH values.
METHODS
Prospective observational study in a sample of 158 women underwent induction with intravaginal dinoprostone for different indications. SFH, SFH corrected for station, gestational age and parity were considered independent variables in multivariable models. Vaginal delivery, operative vaginal delivery, Cesarean section, Cesarean section for dystocia, Cesarean section for cardiotochographyc abnormalities, oxytocin infusion (for potentiating labour), need of Kristeller's maneuvre, epidural anesthesia (on demand), episiotomy, time from the first dose of dinoprostone to delivery, and time of active phase of labour were considered dependent variables in multivariable models.
RESULTS
SFH >34 cm (both uncorrected and corrected for station) independently associates with an increase of odds ratio for operative vaginal birth, Kristeller's maneuver, oxytocin use, episiotomy. Additionally, SFH >34 cm (corrected for station) seems to correlate with increasing time of active phase of labour.
CONCLUSIONS
SFH >34 cm (both corrected and uncorrected for station) predicts difficult vaginal deliveries and operative vaginal deliveries in induced labours.
背景与目的
耻骨联合上子宫长度（SFH）可能被证明对分娩管理有用。本研究旨在评估引产与SFH值之间的关系。
方法
对158例因不同指征接受阴道用地诺前列酮引产的女性进行前瞻性观察研究。在多变量模型中，将SFH、根据胎先露位置、孕周和产次校正后的SFH视为自变量。在多变量模型中，将阴道分娩、阴道助产、剖宫产、因难产行剖宫产、因胎心监护异常行剖宫产、催产素输注（用于加强宫缩）、需要施行克里斯特勒手法、硬膜外麻醉（按需）、会阴切开术、从第一剂地诺前列酮到分娩的时间以及活跃期分娩时间视为因变量。
结果
SFH＞34 cm（未校正及根据胎先露位置校正后）与阴道助产、施行克里斯特勒手法、使用催产素、会阴切开术的比值比增加独立相关。此外，SFH＞34 cm（根据胎先露位置校正后）似乎与活跃期分娩时间延长相关。
结论
SFH＞34 cm（未校正及根据胎先露位置校正后）可预测引产时的困难阴道分娩和阴道助产。
Zotero 插件