分娩过程中应限制干预的措施

Limited intervention measures for childbirth

我国实际临床工作中越来越注重以人为本的理念,强调避免过度干预,更加注重产妇分娩的体验,加强产程管理,减少不必要的干预措施。对于低危的自然临产产妇,在分娩过程中应限制的干预措施包括应用新产程标准,不建议为预防产程延长进行早期人工破膜和使用缩宫素,不建议持续使用胎心监护,鼓励产妇自由选择分娩体位,不建议常规开展会阴侧切等。在临床实践过程中应当根据每名产妇及胎儿的实际情况进行个体化的处理,需要以保证母婴安全为前提,减少过度干预,从而降低剖宫产率,保证产妇有良好的分娩体验,改善母婴结局。

In the clinical work of our country,more and more attention is paid to the people-centered concept.It is more focuses on avoiding excessive intervention and strengthening management of labor course.Interventions that should be limited during childbirth for low-risk spontaneous labour.The limited interventions are including the application of the new parturition process criteria,the use of early amniotomy with early oxytocin augmentation for prevention of delay in labour is not recommended,routine cardiotocography is not recommended,encouraging the adoption of a birth position of the individual woman’s choicey,routine episiotomy is not recommend,et al.It is necessary to manage women and their fetus depending on patients’s situation,and to ensure the safety of mother and child.As well as to reduce excessive intervention,thereby reducing caesarean section rate,ensure that the mother has a good delivery experience,and improve the outcomes of mother and child.