Eskes T K, Jongsma H W, Houx P C
J Reprod Med. 1981 Aug;26(8):405-8.
Gas values of umbilical cord blood were investigated in 85 home deliveries and compared to 28 primiparous and 57 multiparous matched controls deliveries in the hospital. Controls were matched for age, parity, absence of medical indications for hospital delivery, administrations of drugs, spontaneous labor and delivery, duration of second stage and birth weight percentile. This control group was continuously monitored (fetal cardiotachogram, microblood investigation). The median values for pH in the umbilical artery (7.19) and base excess (-9.9 mmol/liter) in home deliveries differed significantly (p less than 10(-4)) from those of matched controls (7.25 and -7.7, respectively) delivered in the hospital. Similar differences were noted for umbilical venous blood values. It appears that delivery in the hospital with continuous fetal monitoring favors the birth of less acidotic children. Other variables, like the conduct of labor, episiotomies and supine position, have to be investigated in separate trials.
对85例家庭分娩的脐带血气值进行了研究，并与28例初产妇和57例经产妇在医院分娩的匹配对照进行了比较。对照组在年龄、产次、无医院分娩医学指征、药物使用、自然分娩和接生、第二产程持续时间和出生体重百分位数方面进行了匹配。该对照组进行了持续监测（胎儿心动图、微量血液检查）。家庭分娩中脐动脉pH值的中位数（7.19）和碱剩余（-9.9毫摩尔/升）与在医院分娩的匹配对照组（分别为7.25和-7.7）有显著差异（p<10⁻⁴）。脐静脉血值也有类似差异。看来在医院进行持续胎儿监测的分娩有利于出生酸中毒程度较轻的儿童。其他变量，如分娩过程、会阴切开术和仰卧位，必须在单独的试验中进行研究。
