Shen L X, Chen H T, Li Z Y, Wang Z L
Department of Obstetrics, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.
Zhonghua Fu Chan Ke Za Zhi. 2019 Feb 25;54(2):93-96. doi: 10.3760/cma.j.issn.0529-567x.2019.02.004.
To analyze labor progression characteristics among nulliparas and provide reference to labor progress management. A retrospective study was conducted on 1 089 women who went for vaginal delivery at the First Affiliated Hospital, Sun Yet-San University from January 1st, 2015 to May 31th, 2016. The duration of cervical dilation from 1.0 cm to the next and the process of initial cervical dilation (2.0 cm or 3.0 cm) to full cervical dilation of nulliparas were analyzed. The cervical dilation speed was accelerating with the progress of labor. The rate of cervical dilation changed fastest between 5.0-6.0 cm dilation, which was more than 3.0 cm/hour. With regard to labor curves, at admission of 2.0 cm cervical dilation, it rose dramatically from 5.0 cm dilation. At admission of 3.0 cm dilation, it presented approximately linear rising before 5.5 cm dilation, then became steeper. The cervical dilation speed is fast. Both labor curves of initial cervical dilation (2.0 cm or 3.0 cm) to full cervical dilation show obvious acceleration stage with steep slope.
分析初产妇产程进展特征,为产程管理提供参考。对2015年1月1日至2016年5月31日在中山大学附属第一医院行阴道分娩的1089例产妇进行回顾性研究。分析初产妇宫颈扩张从1.0 cm到下一阶段的持续时间以及初始宫颈扩张(2.0 cm或3.0 cm)至宫颈完全扩张的过程。宫颈扩张速度随产程进展而加快。宫颈扩张率在5.0 - 6.0 cm扩张之间变化最快,超过3.0 cm/小时。关于产程曲线,宫颈扩张2.0 cm入院时,从5.0 cm扩张开始急剧上升。宫颈扩张3.0 cm入院时,在5.5 cm扩张前呈近似线性上升,然后变陡。宫颈扩张速度快。初始宫颈扩张(2.0 cm或3.0 cm)至宫颈完全扩张的两条产程曲线均显示出明显的加速阶段且斜率较陡。