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[印度版方法是降低臀位分娩发生率的成功方法吗?]

[Is Indian version a successful method for decreasing the incidence of breech presentation?].

作者信息

Bung P, Huch R, Huch A

出版信息

Geburtshilfe Frauenheilkd. 1987 Mar;47(3):202-5. doi: 10.1055/s-2008-1035808.

DOI:10.1055/s-2008-1035808
PMID:3582928
Abstract

In a prospective randomized study involving 30 gravidae with breech presentation the efficacy of a maternal positioning exercise--raising of the pelvis, abduction of the thighs, relaxed abdominal breathing--for the purpose of spontaneous version of the fetus into vertex presentation was investigated. The results were compared with the rate of uninfluenced, spontaneous version in a further 31 gravidae with the same initial conditions. In view of the low numbers involved no statistical statements can be made; however, version in 21 out of 30 positioned subjects (70%) as opposed to 17 out of 31 spontaneous versions indicates some degree of success. Considering the risks of breech presentation during pregnancy and at birth on the one hand and the absence of risk and good acceptance of the positioning exercise on the other, the method can be recommended.

摘要

在一项涉及30例臀位孕妇的前瞻性随机研究中,对一种孕妇体位锻炼方法——抬高骨盆、外展大腿、放松腹部呼吸——促使胎儿自然转为头先露的效果进行了研究。将结果与另外31例初始条件相同、未受干预自然转位的孕妇的转位率进行了比较。鉴于研究样本数量较少,无法进行统计学分析;然而,30例接受体位锻炼的孕妇中有21例(70%)转位,而31例自然转位的孕妇中有17例转位,这表明该方法有一定程度的成功。考虑到一方面臀位妊娠和分娩期间存在风险,另一方面体位锻炼没有风险且易于接受,该方法值得推荐。

相似文献

1
[Is Indian version a successful method for decreasing the incidence of breech presentation?].[印度版方法是降低臀位分娩发生率的成功方法吗?]
Geburtshilfe Frauenheilkd. 1987 Mar;47(3):202-5. doi: 10.1055/s-2008-1035808.
2
[Increased rate of spontaneous version in breech presentation by Indian bridge? A prospective, randomized study].[印度桥式手法是否能提高臀位自然转位率?一项前瞻性随机研究]
Z Geburtshilfe Neonatol. 1999 Jul-Aug;203(4):161-5.
3
[External version from breech position to head presentation near term].[临近足月时将臀位外倒转成头先露]
Zentralbl Gynakol. 1987;109(3):173-80.
4
[External version of fetus from breech to vertex presentation near term under tocolysis (author's transl)].临近足月时在宫缩抑制剂作用下将臀位胎儿外倒转成头先露(作者译)
Z Geburtshilfe Perinatol. 1981 Aug;185(4):207-15.
5
External cephalic version in breech presentation under tocolysis.在宫缩抑制剂作用下对臀位进行外倒转术。
Obstet Gynecol. 1979 Jun;53(6):712-5.
6
[External cephalic version for breech presentation at term: an effective procedure to reduce the caesarean section rate].[足月臀位外倒转术:降低剖宫产率的有效方法]
Minerva Ginecol. 2003 Dec;55(6):519-24.
7
Outcomes of external cephalic version and breech presentation at term, an audit of deliveries at a Sydney tertiary obstetric hospital, 1997-2004.外倒转术及足月臀位分娩的结局:对悉尼一家三级产科医院1997 - 2004年分娩情况的审计
Acta Obstet Gynecol Scand. 2006;85(10):1231-8. doi: 10.1080/00016340600853651.
8
[External cephalic version as a possible treatment of breech presentation].[外倒转术作为臀先露的一种可能治疗方法]
Minerva Ginecol. 2000 Jun;52(6):221-7.
9
[Improved cephalic version: a report of 669 cases].[头位转正术:669例报告]
Zhonghua Fu Chan Ke Za Zhi. 1989 Mar;24(2):76-80, 123.
10
[Remark on the article by KH Schlensker, G Enderer-Steinfort, A. Bolte: External version of the fetus from breech position to head position at end of pregnancy, published in Geburtshilfe und Frauenheilkunde 38 (1978) 744].[关于KH·施伦斯克、G·恩德勒-施泰因福特、A·博尔特所著文章《妊娠末期将臀位胎儿外倒转至头位》的评论,发表于《产科学与妇科学》38卷(1978年)第744页]
Geburtshilfe Frauenheilkd. 1979 Jun;39(6):457-8.

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1
Evaluating the effectiveness of lateral postural management for breech presentation: study protocol for a randomized controlled trial (BRLT study).评估臀位分娩时侧卧位管理的有效性:一项随机对照试验的研究方案(BRLT 研究)。
Trials. 2023 May 27;24(1):360. doi: 10.1186/s13063-023-07395-w.
2
Cephalic version by postural management for breech presentation.通过体位管理进行臀位的头位转位。
Cochrane Database Syst Rev. 2012 Oct 17;10(10):CD000051. doi: 10.1002/14651858.CD000051.pub2.
3
Central neuraxial blockade-assisted external cephalic version in reducing caesarean section rate: systematic review and meta-analysis.
中枢神经轴索阻滞辅助外倒转术降低剖宫产率:系统评价与Meta分析
Obstet Gynecol Int. 2009;2009:718981. doi: 10.1155/2009/718981. Epub 2009 Dec 23.
4
Clinical implications from an exploratory study of postural management of breech presentation.臀先露姿势管理探索性研究的临床意义
J Midwifery Womens Health. 2006 Jul-Aug;51(4):292-296. doi: 10.1016/j.jmwh.2005.11.010.