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新型第三产程方案 https://www.youtube.com/watch?v=AAJPW4p6rzU 可减少阴道分娩产后出血。

Novel third stage protocol https://www.youtube.com/watch?v=AAJPW4p6rzU reduces postpartum hemorrhage at vaginal birth.

机构信息

All the Way Birth, Israel.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2022 Nov;278:29-32. doi: 10.1016/j.ejogrb.2022.08.016. Epub 2022 Sep 2.

DOI:10.1016/j.ejogrb.2022.08.016
PMID:36113283
Abstract

OBJECTIVE

To reproduce the absence of postpartum hemorrhage (PPH) experienced by all mammals except humans, in humans, by implementation of the 1, 2, 3 min expedient squatting protocol www.youtube.com/watch?v=AAJPW4p6rzU. The protocol prevents postpartum hemorrhage ≥ 500 mL after vaginal birth. It only requires a digital watch to precisely time 2 min.

DESIGN, SETTING, SAMPLE AND METHODS: Mean blood loss and PPH rate are reported for 2,149 consecutive planned, attended vaginal births using the 1, 2, 3 min squatting third stage protocol.

MAIN OUTCOME MEASURES

Blood loss; PPH ≥ 1000 mL.

RESULTS

Expedient delivery of the placenta in squatting within 3-5 min postpartum resulted in an average blood loss of 100 mL in the first 2 h after birth and no cases of PPH ≥ 500 mL in the first 24 h after birth. The lowest previously published PPH ≥ 1000 mL rate at vaginal birth is 4 %. The PPH ≥ 1000 mL using Active Management is 5 %.

CONCLUSION

Less bleeding occurs when women expediently push out the placenta within 3 min of the birth of the newborn, in squatting, taking advantage of the still open cervix, gravity, and the increased effectiveness of their diaphragm and abdominal muscles.

摘要

目的

通过实施 1、2、3 分钟便捷蹲位方案,复制除人类以外所有哺乳动物分娩后均不会出现产后出血(PPH)的现象,www.youtube.com/watch?v=AAJPW4p6rzU。该方案可预防阴道分娩后发生≥500 毫升的 PPH。它仅需要一块数字手表即可精确计时 2 分钟。

设计、环境、样本和方法:报告了 2149 例连续的计划性、有人照护的阴道分娩中,使用 1、2、3 分钟蹲位第三产程方案的平均失血量和 PPH 发生率。

主要观察指标

出血量;PPH≥1000 毫升。

结果

在产后 3-5 分钟内便捷地将胎盘娩出,产妇呈蹲位,可导致产后 2 小时内平均出血量为 100 毫升,且产后 24 小时内无 PPH≥500 毫升的情况发生。此前发表的阴道分娩中 PPH≥1000 毫升的最低发生率为 4%。采用主动管理的 PPH≥1000 毫升发生率为 5%。

结论

当女性在新生儿出生后 3 分钟内迅速蹲下,利用仍然张开的宫颈、重力以及膈肌和腹肌的增强作用娩出胎盘时,出血会减少。

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Eur J Obstet Gynecol Reprod Biol. 2022 Nov;278:29-32. doi: 10.1016/j.ejogrb.2022.08.016. Epub 2022 Sep 2.
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