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.
Abstract
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.
摘要
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。
相似文献
1
Active management of labour.产程积极管理
Br Med J. 1973 Jul 21;3(5872):135-7. doi: 10.1136/bmj.3.5872.135.
2
Effectiveness of pain relief in labour: survey of 1000 mothers.分娩时疼痛缓解的效果：对1000名母亲的调查
Br Med J (Clin Res Ed). 1982 Sep 11;285(6343):689-90. doi: 10.1136/bmj.285.6343.689.
3
Influence of epidural anaesthesia on the course of labour in patients with antepartum fetal death.
Aust N Z J Obstet Gynaecol. 1991 Aug;31(3):227-8. doi: 10.1111/j.1479-828x.1991.tb02787.x.
4
Epidural block or parenteral pethidine as analgesic in labour; a randomized study concerning progress in labour and instrumental deliveries.
Eur J Obstet Gynecol Reprod Biol. 1989 Jan;30(1):27-33. doi: 10.1016/0028-2243(89)90090-7.
5
Prevention of prolonged labour.预防产程延长。
Br Med J. 1969 May 24;2(5655):477-80. doi: 10.1136/bmj.2.5655.477.
6
Influence of a partograph on the active management of labour.
Lancet. 1972 Aug 19;2(7773):348-51. doi: 10.1016/s0140-6736(72)91735-7.
7
A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E₂ (OPRA study).一项比较前列腺素 E₂（OPRA 研究）门诊与住院宫颈成熟的随机对照试验。
BJOG. 2015 Jan;122(1):94-104. doi: 10.1111/1471-0528.12846. Epub 2014 May 14.
8
Induction of labour by amniotomy and simultaneous Syntocinon infusion.人工破膜引产并同时输注缩宫素。
J Obstet Gynaecol Br Commonw. 1968 Jul;75(7):698-701. doi: 10.1111/j.1471-0528.1968.tb01545.x.
9
The course of labor with and without epidural analgesia.
Am J Obstet Gynecol. 1998 Mar;178(3):516-20. doi: 10.1016/s0002-9378(98)70431-4.
10
Segmental epidural analgesia in labour: related to the progress of labour, fetal malposition and instrumental delivery.
Acta Obstet Gynecol Scand. 1979;58(2):135-9. doi: 10.3109/00016347909154571.
引用本文的文献
1
An Analysis of Caesarean Sections in a Community Cottage Hospital in Nigeria's Niger Delta Using The Robson Classification.使用罗布森分类法对尼日利亚尼日尔三角洲一家社区乡村医院剖宫产情况的分析
Niger Med J. 2022 Sep 11;63(2):91-97. eCollection 2022 Mar-Apr.
2
Effectiveness of Jacobson Relaxation and Lamaze Breathing Techniques in the Management of Pain and Stress During Labor: An Experimental Study.雅各布森放松法和拉玛泽呼吸法在分娩过程中疼痛与压力管理中的效果：一项实验研究。
Cureus. 2023 Jan 1;15(1):e33212. doi: 10.7759/cureus.33212. eCollection 2023 Jan.
3
Development and validation of a predictive model to identify the active phase of labor.开发和验证一种预测模型，以识别分娩活跃期。
BMC Pregnancy Childbirth. 2022 Aug 15;22(1):641. doi: 10.1186/s12884-022-04946-y.
4
The Pathophysiology of Labor Dystocia: Theme with Variations.分娩难产的病理生理学：主题变奏。
Reprod Sci. 2023 Mar;30(3):729-742. doi: 10.1007/s43032-022-01018-6. Epub 2022 Jul 11.
5
Respectful midwifery care during the COVID-19 pandemic.COVID-19大流行期间的尊重式助产护理。
Eur J Midwifery. 2020 Apr 8;4:8. doi: 10.18332/ejm/120070. eCollection 2020.
6
The effect of the first vaginal birth on pelvic floor anatomy and dysfunction.首次阴道分娩对盆底解剖结构及功能障碍的影响。
Int Urogynecol J. 2019 Oct;30(10):1689-1696. doi: 10.1007/s00192-019-04044-2. Epub 2019 Jul 20.
7
Comparing Different Partograph Designs for Use in Standard Labor Care: A Pilot Randomized Trial.比较用于标准分娩护理的不同产程图设计：一项试点随机试验。
Matern Child Health J. 2018 Mar;22(3):355-363. doi: 10.1007/s10995-017-2366-0.
8
VALETHEMATE BROMIDE AND CERVICAL DILATATION.溴化瓦来特与宫颈扩张
Med J Armed Forces India. 1999 Jul;55(3):201-202. doi: 10.1016/S0377-1237(17)30441-0. Epub 2017 Jun 26.
9
Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar: a case-control study.桑给巴尔低资源转诊医院的死产与分娩期间的护理质量：一项病例对照研究
BMC Pregnancy Childbirth. 2016 Nov 10;16(1):351. doi: 10.1186/s12884-016-1142-2.
10
Increased maternal TSH and decreased maternal FT4 are associated with a higher operative delivery rate in low-risk pregnancies: A prospective cohort study.孕期甲状腺素水平升高及游离甲状腺素降低与低风险妊娠剖宫产率增加相关：一项前瞻性队列研究。
BMC Pregnancy Childbirth. 2015 Oct 16;15:267. doi: 10.1186/s12884-015-0702-1.
本文引用的文献
1
Prevention of prolonged labour.预防产程延长。
Br Med J. 1969 May 24;2(5655):477-80. doi: 10.1136/bmj.2.5655.477.
2
Normal cervical dilatation pattern in late pregnancy and labor.
Am J Obstet Gynecol. 1970 Apr 1;106(7):1065-82. doi: 10.1016/s0002-9378(16)34092-3.
3
Active management of labour and cephalopelvic disproportion.
J Obstet Gynaecol Br Commonw. 1970 May;77(5):385-9. doi: 10.1111/j.1471-0528.1970.tb03539.x.
4
Impact of active management on delivery unit practice.积极管理对分娩单元实践的影响。
Proc R Soc Med. 1972 Aug;65(8):697-8. doi: 10.1177/003591577206500815.
5
The use of a cervical dilatation graph in the management of primigravidae in labour.
J Obstet Gynaecol Br Commonw. 1972 Aug;79(8):710-4. doi: 10.1111/j.1471-0528.1972.tb12905.x.
6
Cervicographs in the management of labour in primigravidae. II. The action line and treatment of abnormal labour.初产妇分娩管理中的子宫颈扩张图。II. 产程异常的作用线及处理
J Obstet Gynaecol Br Commonw. 1972 Jul;79(7):599-602. doi: 10.1111/j.1471-0528.1972.tb14208.x.
7
Cervicographs in the management of labour in primigravidae. I. The alert line for detecting abnormal labour.初产妇分娩管理中的宫颈扩张图。I. 检测异常分娩的警戒值。
J Obstet Gynaecol Br Commonw. 1972 Jul;79(7):592-8. doi: 10.1111/j.1471-0528.1972.tb14207.x.
8
The second thousand epidural blocks in an obstetric hospital practice.
Br J Anaesth. 1972 Dec;44(12):1277-87. doi: 10.1093/bja/44.12.1277.
Zotero 插件