Evidence-based labor management: before labor (Part 1)

被引:9
作者
Berghella, Vincenzo [1 ]
Di Mascio, Daniele [1 ,2 ]
机构
[1] Thomas Jefferson Univ, Div Maternal Fetal Med, Dept Obstet & Gynecol, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA
[2] Sapienza Univ Rome, Dept Maternal & Child Hlth & Urol Sci, Rome, Italy
关键词
birth assistant; delayed admission; delivery; labor; pelvic floor muscle training; perineal massage; self-diagnosis; sweeping of membranes; x-ray pelvimetry; DELIVERY; BIRTH; OUTCOMES; TRIAL;
D O I
10.1016/j.ajogmf.2019.100080
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In preparation for labor and delivery, there is high-quality evidence for providers to recommend perineal massage with oil for 5-10 minutes daily starting at 34 weeks until labor; >= 1 daily sets of repeated voluntary contractions of the pelvic floor muscles, performed at least several days of the week starting at approximately 30-32 weeks gestation; no x-ray pelvimetry; sweeping of membranes weekly starting at 37-38 weeks gestation; for women with a risk factor for abnormal outcome plans should be made to deliver in a hospital setting; for low-risk women, alongside birth center birth is associated with maternal benefits and higher satisfaction, compared with hospital birth; midwife-led care for low-risk women; continuous support by a professional such as doula, midwife, or nurse during labor; and training of birth attendants in low- and middle-income countries.
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页数:6
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