Warkentin B
Z Geburtshilfe Perinatol. 1977 Oct;181(5):341-4.
Basing on the "partial dilatation" ("Teileröffnungszeiten" (W. Wolf), ie the time in which the os uteri opens from a certain size to its full potential, the process of openning of the os uteri was compared between various types of rupture of the amnion and in programmed induction of labor. Both in the case of primiparas and pluriparas, opening is fastest after early rupture of the amnion, followed by premature amniotic opening and opening at induction of labor. Opening is slowest in the case of timely rupture of the amnion. However, the differences in the opening process between induction of labor and premature amniotic rupture on the one hand, and between induction of labor and timely amniotic rupture on the other, are not significant. The differences in opening following spontaneous onset of labor are attributed to the individual varying circumstances relating to the mechanism of birth. In regard to the temporal course of birth, neither the mother nor the child is subjected to an increased stress of labor resulting from induction of labor.
基于“部分扩张”(“Teileröffnungszeiten”(W. Wolf),即子宫颈从一定大小扩张至其最大扩张程度所需的时间),对不同类型的胎膜破裂及引产过程中子宫颈的扩张过程进行了比较。无论是初产妇还是经产妇,胎膜早破后子宫颈扩张最快,其次是胎膜早破和引产时的扩张。胎膜适时破裂时子宫颈扩张最慢。然而,引产与胎膜早破之间以及引产与胎膜适时破裂之间在扩张过程上的差异并不显著。引产与自然发动分娩在扩张方面的差异归因于与分娩机制相关的个体差异情况。就分娩的时间进程而言,引产既不会使母亲也不会使胎儿承受因引产导致的额外分娩压力。