产程积极管理
Active management of labour.
作者信息
O'Driscoll K, Stronge J M, Minogue M
出版信息
Br Med J. 1973 Jul 21;3(5872):135-7. doi: 10.1136/bmj.3.5872.135.
Active management of labour has been developed to the extent that an assurance is given to every woman who attends this hospital that her first baby will be born within 12 hours. This assurance could lead to a welcome change in present attitudes because the mere prospect of prolonged labour is often a cause of serious concern during a first pregnancy. Labour of strictly limited duration makes it possible to provide every woman with a personal nurse, and it places the problem of pain in a new setting.The results of a prospective study of 1,000 consecutive primigravidae are presented, and the guidelines to a standard policy of management are defined. Difficulty in meeting the commitment to early delivery arose almost exclusively in cases in which the diagnosis of labour was in doubt; only seven women were retained in the delivery unit for 12 hours.
积极的分娩管理已经发展到这样的程度
每一位到这家医院就诊的女性都能得到保证，她的头胎宝宝将在12小时内出生。这种保证可能会使当前的态度发生令人欣喜的转变，因为仅仅是长时间分娩的前景往往是初孕期间严重担忧的一个原因。严格限定分娩时间使得为每位女性配备一名私人护士成为可能，并且将疼痛问题置于一个新的背景下。本文呈现了对1000例连续初产妇进行前瞻性研究的结果，并确定了标准管理政策的指导方针。几乎唯一出现难以兑现早分娩承诺的情况是那些对分娩诊断存疑的病例；只有7名女性在分娩单元停留了12小时。
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