[枕后位或枕横位时顶点先露的手法旋转。技术与价值]
[Manual rotation of vertex presentations in posterior occipital-iliac or transverse position. Technique and value].
作者信息
Haddad B, Abirached F, Calvez G, Cabrol D
机构信息
Service de Gynécologie-Obstétrique.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 1995;24(2):181-8.
OBJECTIVE
Evaluate of the usefulness of manual rotation of occipito-posterior or transverse presentation.
DESIGN
One year retrospective study (1991).
SETTING
Maternity hospital, Clinique Universitaire Baudelocque.
SUBJECTS
All patients during labour having a spontaneous (n = 160) or a manual rotation (n = 368) of an occipito-posterior or occipitotransverse presentation. The manual rotation could be indicated for a fetal distress, a protracted first stage of labour or prophylactically.
INTERVENTION
Manual rotation as described by Tarnier, was performed at least at 7 cm cervical dilatation.
MAIN OUTCOME MEASURES
Success rate of manual rotation, cesarean section rate, maternal, fetal and neonatal complications.
目的
评估枕后位或枕横位手法旋转的有效性。
设计
为期一年的回顾性研究（1991年）。
地点
妇产医院，Baudelocque大学诊所。
研究对象
所有分娩时出现枕后位或枕横位自然转位（n = 160）或手法旋转（n = 368）的患者。手法旋转可因胎儿窘迫、第一产程延长或作为预防性措施而进行。
干预措施
按照塔尼尔（Tarnier）所描述的方法，至少在宫颈扩张7厘米时进行手法旋转。
主要观察指标
手法旋转成功率、剖宫产率、母体、胎儿及新生儿并发症。
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