初产妇难产的处理与预防进展

被引：9

作者：

商敏

机构：

[1] 首都医科大学附属北京友谊医院妇产科

来源：

实用医学杂志 | 2009年 / 25卷 / 21期

关键词：

剖宫产率; 催产素; 寡肽; 初产妇; 产程延长; 分娩; 第二产程; 硬膜外镇痛; 活跃期; 持续性枕后位; 产程时间; 阴道助产; 缩宫素; 枕前位; 人工破膜; 难产; 宫缩乏力; 促宫颈成熟; 剂量方案;

D O I：

暂无

中图分类号：

R714.4 [病理分娩（异常分娩）];

学科分类号：

100211 ;

摘要：

<正>异常分娩(dystocia)是希腊语,俗称难产,常发生于初产妇,指产程延长或进展缓慢,需要催产、手术阴道助产或剖宫产结束分娩。2003年,美国有17%的孕妇需要催产素催产,2005年初次剖宫产率达30%以上[1],我国的剖宫产率也逐步上升,由60年代的11.2%～21.4%上升至90年代的30%～40%,

引用

页码：3541 / 3543

页数：3

共 9 条

[1] 分娩早期使用自控硬膜外镇痛对分娩结局的影响 [J].

冯红星 .

中国妇幼保健, 2007, (13) :1755-1756

[2] 硬外阻滞分娩镇痛中积极的产程管理的临床意义 [J].

武宝平 ;

陈庚辰 ;

张秀珍 .

中国妇幼保健, 2006, (10) :1429-1430

[3]

Manual rotation of the fetal occiput: Predictors of success and delivery[J] . Brian L. Shaffer,Yvonne W. Cheng,Juan E. Vargas,Russell K. Laros,Aaron B. Caughey.American Journal of Obstetrics and Gynecology . 2006 (5)

[4]

Active management of risk in pregnancy at term in an urban population: An association between a higher induction of labor rate and a lower cesarean delivery rate[J] . James M. Nicholson,Lisa C. Kellar,Peter F. Cronholm,George A. Macones.American Journal of Obstetrics and Gynecology . 2004 (5)

[5]

How long is too long: Does a prolonged second stage of labor in nulliparous women affect maternal and neonatal outcomes?[J] . Yvonne W. Cheng,Linda M. Hopkins,Aaron B. Caughey.American Journal of Obstetrics and Gynecology . 2004 (3)

[6]

ACOG Practice Bulletin Number 49, December 2003: Dystocia and Augmentation of Labor[J] . Obstetrics ＆ Gynecology . 2003 (6)

[7] Reassessing the labor curve in nulliparous women [J].

Zhang, J ;

Troendle, JF ;

Yancey, MK .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 187 (04) :824-828

[8]

Multicenter, randomized, controlled trial of delayed pushing for nulliparous women in the second stage of labor with continuous epidural analgesia[J] . William D. Fraser,Sylvie Marcoux,Isabelle Krauss,Joanne Douglas,Céline Goulet,Michel Boulvain.American Journal of Obstetrics and Gynecology . 2000 (5)

[9]

The risk of ce-sarean delivery with neuraxial analgesia given early versus late in labor. Wong CA, Scavone BM, Peaceman AM, et al. The New England Journal of Medicine . 2005

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