Eliot B W, Hill J G
Br Med J. 1972 Dec 23;4(5842):703-6. doi: 10.1136/bmj.4.5842.703.
We have developed a method of breech management based on the use of fetal blood sampling. Twenty-five cases were studied throughout labour, and fetal blood samples taken throughout the first and second stages. These showed that the Apgar score at one minute correlated closely with the fetal pH just before delivery. We believe that cord compression is an important variable factor which can be assessed only by fetal blood sampling. If this shows that fetal anoxia is becoming severe then immediate delivery is mandatory.
我们基于胎儿血样采集开发了一种臀位处理方法。对25例产妇在整个分娩过程进行了研究,并在第一产程和第二产程全程采集胎儿血样。结果显示,出生后1分钟的阿氏评分与分娩前胎儿的酸碱度密切相关。我们认为脐带受压是一个重要的可变因素,只有通过胎儿血样采集才能评估。如果血样显示胎儿缺氧正在加重,那么必须立即分娩。