Romney M L, Gordon H
Br Med J (Clin Res Ed). 1981 Apr 18;282(6272):1269-71. doi: 10.1136/bmj.282.6272.1269.
Two hundred and seventy-four women admitted for delivery of singleton infants were studied for the effects of a preparatory enema on faecal contamination, duration of labour, and the incidence of infection in the newborn. Altogether 149 of the women were given an enema (controls) and 125 were not. The two groups showed no significant difference in the degree of faecal contamination during the first and second stages of labour, and the incidences of gross contamination were similar. Contamination after an enema was especially difficult to control, since it was more likely to be fluid. Seven neonates in each group showed evidence of infection, bowel organisms being isolated from four in the no-enema group and two in the control group. Durations of labour, though not strictly comparable, were similar in the two groups. The findings suggest that when preparing for normal labour the enema should be reserved for women who have not had their bowels open in the past 24 hours and have an obviously loaded rectum on initial pelvic examination.
对274名因单胎分娩入院的妇女进行了研究，以探讨灌肠准备对粪便污染、产程及新生儿感染发生率的影响。共有149名妇女接受了灌肠（对照组），125名未接受。两组在第一产程和第二产程中的粪便污染程度无显著差异，重度污染发生率相似。灌肠后的污染尤其难以控制，因为其更可能是液体状。每组有7名新生儿出现感染迹象，未灌肠组4名新生儿和对照组2名新生儿的肠道细菌被分离出来。两组的产程虽不完全可比，但相似。研究结果表明，在为正常分娩做准备时，灌肠应仅用于过去24小时未解大便且初次盆腔检查时直肠明显充盈的妇女。
