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分娩时的子宫总冲动和宫颈阻力。

Total uterine impulse and cervical resistance at parturition.

作者信息

Rossavik I K

出版信息

Am J Obstet Gynecol. 1980 Mar 1;136(5):579-83. doi: 10.1016/0002-9378(80)91006-6.

DOI:10.1016/0002-9378(80)91006-6
PMID:7355936
Abstract

Resistance to the passage of the fetus during parturition has been estimated indirectly by calculation of the active contraction area during the first stage of labor until the cervix reaches a dilatation of 5 cm--the period of cervical resistance. Parturients with a high total uterine impulse in this period were studied. Two different patterns of cervical resistance with corresponding clinical pictures were found. Type I had a high frequency of cesarean sections with a good correlation to the resistance. With high resistance there also was a tendency to low Apgar scores at 1 minute. Type II had normal 1 minute Apgar scores and only vaginal deliveries.

摘要

分娩时胎儿通过产道的阻力是通过计算第一产程中直到宫颈扩张5厘米(宫颈阻力期)的有效宫缩面积来间接估计的。对该时期总子宫冲动较高的产妇进行了研究。发现了两种不同的宫颈阻力模式及其相应的临床表现。I型剖宫产率高,且与阻力有良好的相关性。阻力高时,1分钟时阿氏评分也往往较低。II型1分钟阿氏评分正常,仅经阴道分娩。

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