Fairfield University - Egan School of Nursing and Health Studies, Fairfield, Connecticut.
Women's Health Associates, LLC, New Haven, Connecticut.
J Midwifery Womens Health. 2022 Sep;67(5):644-650. doi: 10.1111/jmwh.13406.
During active labor, a birthing person with cervical edema often has a dysfunctional or prolonged labor and, therefore, an increased risk for cesarean birth. Midwives seeking evidence on how to manage cervical edema when they are faced with this clinical situation will note a gap in the literature regarding the management of cervical edema that this report aims to fill. This case will discuss the use of intravenous diphenhydramine (Benadryl), the application of ice to the cervix, side-lying release, epidural analgesia use, manual reduction of the cervix, and various positions to encourage reduction in cervical swelling. It is hoped these strategies will add to a midwife's clinical resources by providing ways to promote vaginal birth in the setting of cervical edema during labor.
在活跃的分娩过程中，宫颈水肿的产妇常常会出现功能失调或分娩时间延长，因此，剖宫产的风险增加。助产士在面对这种临床情况时，寻求有关如何处理宫颈水肿的证据，会注意到文献中存在管理宫颈水肿的空白，本报告旨在填补这一空白。本病例将讨论使用静脉注射苯海拉明（苯那君）、在宫颈上敷冰、侧卧位释放、使用硬膜外镇痛、手动减少宫颈、以及各种姿势以鼓励减少宫颈肿胀。希望这些策略能通过提供在分娩期间宫颈水肿的情况下促进阴道分娩的方法，为助产士的临床资源增添内容。
