Zahn V, Ostarek B
Z Geburtshilfe Perinatol. 1985 May-Jun;189(3):125-9.
In the past few years obstetrics has experienced substantial improvements due to the apparatus supervision of the fetus. What remained an unsolved problem was the continuous measuring of the dilatation of the cervix in labor, although various methods have been developed. The forceps given by Richardson et al. 1978 have been further developed by us. These cervical forceps are attached to the cervix at 3 and 9 o'clock. The patulousness of the cervix corresponds to the angular aperture of the forceps and is directly converted into an electric signal by means of a dilatation-measuring strip attached to the branches of the forceps and said signal is continuously recorded by a compensation writer which is synchronized with the cardiotocograph. 110 women between the 34th and the 41st week of pregnancy were examined. In the course of the measurements carried out, the application of the cervical forceps became easier for the obstetrician, because he acquired more and more routine in applying such forceps. The indication for cervical measuring includes delayed labor, premature rupture of the fetal membranes, the fetus letalis ante partum as well as the attempt of a spontaneous partus after a Caesarean section in combination with measuring the intrauterine pressure. Because no increased danger of infection was observed, cervical measuring is considered to be an enrichment in the field of obstetrics. The inconveniences caused to the patient by applying the cervical forceps are by far made good for by the absence of manual examinations. Hence, one can assume that cervical measuring in the case of risk patients during pregnancy constitutes a useful additional measure.
在过去几年里,由于对胎儿的仪器监测,产科取得了显著进展。尽管已经开发出各种方法,但分娩时宫颈扩张的连续测量仍是一个未解决的问题。我们对理查森等人在1978年发明的产钳进行了进一步改进。这些宫颈钳在宫颈的3点和9点位置固定。宫颈的扩张程度与钳子的角孔径相对应,并通过附着在钳子分支上的扩张测量条直接转换为电信号,该信号由与胎心监护仪同步的补偿记录仪连续记录。对110名怀孕34至41周的妇女进行了检查。在测量过程中,产科医生使用宫颈钳变得更加容易,因为他在使用这种钳子方面越来越熟练。宫颈测量的适应症包括产程延长、胎膜早破、产前胎儿死亡以及剖宫产术后尝试自然分娩并同时测量宫内压力。由于未观察到感染风险增加,宫颈测量被认为是产科领域的一项进步。使用宫颈钳给患者带来的不便远远被无需手动检查所弥补。因此,可以认为对高危孕妇进行宫颈测量是一项有用的额外措施。