EVALUATION OF DIFFERENT POLICIES FOR THE MANAGEMENT OF LABOR

被引:25
作者
BREART, G
MLIKACABANE, N
KAMINSKI, M
ALEXANDER, S
HERRUZONALDA, A
MANDRUZZATO, P
THORNTON, JG
TRAKAS, D
机构
[1] Epidemiology Research Unit on Women and Child Health (INSERM-U.149), 75014 Paris
关键词
PROLONGED LABOR; CESAREAN SECTION; AMNIOTOMY;
D O I
10.1016/0378-3782(92)90183-H
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Varioius policies of management of prolonged labour have been proposed to prevent its two main consequences - caesarean section and fetal distress. Two randomised controlled trials were organised; the first to assess the value of amniotomy with oxytocin compared to a more conservative approach. The second trial compared the effect of continuous professional support duirng labour with the intermittent presence of a member of staff. These were multicentre studies in several countries of Europe. Preliminary results of early amniotomy suggested no difference in the rate of operative delivery. Continuous professional support was associated with a significant reduction in operative deliveries.
引用
收藏
页码:309 / 312
页数:4
相关论文
共 4 条
  • [1] BREART G, 1987, 1986 P EC SEM TRIEST
  • [2] KAMINSKI M, 1986, PERINATAL CARE DELIV
  • [3] Keirse M, 1989, EFFECTIVE CARE PREGN
  • [4] ODRISCOLL K, 1980, ACTIVE MANAGEMENT LA