Kirchhoff H
Z Geburtshilfe Perinatol. 1976 Apr;180(2):95-105.
The modern examination methods for the recognition and supervision of high risk births in the area of perinatology have led to a real decrease in newborn morbity and mortality. Since, however, optimal conditions have not been reached at present, there is an urgent need for a wide reaching intensification of prospective diagnostic measures. The early recognition of disturbances in the mechanism of labor is the most important. The author shows on the basis of the most recent literature and his own experience that, even today, factors involved with the mechanics of labor play a chief role in disturbances during the course of labor which have unfavorable effects on the infant as well as the mother. The various irregularities were discussed in detail and supported with statistics. The importance of pelvic roentgenographic diagnosis was discussed in a separate section. The tremendous gains for mother and infant resulting from clarification were compared with the cited, but not confirmed, damage caused by these measures.
围产医学领域中用于识别和监测高危分娩的现代检查方法已切实降低了新生儿的发病率和死亡率。然而，由于目前尚未达到最佳条件，迫切需要广泛加强前瞻性诊断措施。产程机制紊乱的早期识别最为重要。作者基于最新文献和自身经验表明，即便在当今，与产程力学相关的因素在产程中出现的紊乱情况中仍起着主要作用，这些紊乱会对母婴产生不利影响。详细讨论了各种异常情况并辅以统计数据。在单独的章节中探讨了骨盆X线诊断的重要性。将因诊断明确给母婴带来的巨大益处与这些措施所引发的（虽被提及但未得到证实的）损害进行了比较。
