产程活跃期宫颈水肿(Cervical edema in active stage of labor)分娩过程中较常见的一种并发症多见于胎方位异常,与相对性头盆不称有关,该并发症会严重影响母婴安全,因此产程中应给予合适的药物对其实施干预;随着治疗经验的积累,间苯三...产程活跃期宫颈水肿(Cervical edema in active stage of labor)分娩过程中较常见的一种并发症多见于胎方位异常,与相对性头盆不称有关,该并发症会严重影响母婴安全,因此产程中应给予合适的药物对其实施干预;随着治疗经验的积累,间苯三酚被广泛应用于产程活跃期宫颈水肿的治疗中且取得了较理想治疗效果。鉴于此,文章就近两年所发表的间苯三酚治疗产程活跃期宫颈水肿相关文献结合实际药物应用情况做如下总结,为后续药物使用提供一定理论依据。展开更多
Objective This study was undertaken to examine the relationship betwe en labor abnormalities and shoulder dystocia in nulliparous women. Study design Nulliparo us women whose delivery was complicated by shoulder dysto...Objective This study was undertaken to examine the relationship betwe en labor abnormalities and shoulder dystocia in nulliparous women. Study design Nulliparo us women whose delivery was complicated by shoulder dystocia were studied and co mpared with a control group selected based on the best possible match for race, labor type (spontaneous or induced), and birth weight. The duration of first and second stage of labor, as well as the rates of labor progress, were calculated and compared between groups. Results During this 4-year study period, there wer e 8010 nulliparous singleton deliveries of which 65 (0.8%) were complicated by shoulder dystocia. Compared with controls, there was no difference in the rate o f cervical dilation in the active phase of the first stage of labor. In the shou lder dystocia group, more patients had a second stage of labor greater than 2 ho urs (22%vs 3%; P < .05) and had operative vaginal deliveries (26%vs 1.5%; P < .001). In shoulder dystocia cases with birth weight greater than 4000 g, 33%h ad a second stage of labor greater than 2 hours. Conclusion In our population, t he combination of fetal macrosomia, second stage of labor longer than 2 hours an d the use of operative vaginal delivery were associated with shoulder dystocia i n nulliparous women.展开更多
文摘产程活跃期宫颈水肿(Cervical edema in active stage of labor)分娩过程中较常见的一种并发症多见于胎方位异常,与相对性头盆不称有关,该并发症会严重影响母婴安全,因此产程中应给予合适的药物对其实施干预;随着治疗经验的积累,间苯三酚被广泛应用于产程活跃期宫颈水肿的治疗中且取得了较理想治疗效果。鉴于此,文章就近两年所发表的间苯三酚治疗产程活跃期宫颈水肿相关文献结合实际药物应用情况做如下总结,为后续药物使用提供一定理论依据。
文摘Objective This study was undertaken to examine the relationship betwe en labor abnormalities and shoulder dystocia in nulliparous women. Study design Nulliparo us women whose delivery was complicated by shoulder dystocia were studied and co mpared with a control group selected based on the best possible match for race, labor type (spontaneous or induced), and birth weight. The duration of first and second stage of labor, as well as the rates of labor progress, were calculated and compared between groups. Results During this 4-year study period, there wer e 8010 nulliparous singleton deliveries of which 65 (0.8%) were complicated by shoulder dystocia. Compared with controls, there was no difference in the rate o f cervical dilation in the active phase of the first stage of labor. In the shou lder dystocia group, more patients had a second stage of labor greater than 2 ho urs (22%vs 3%; P < .05) and had operative vaginal deliveries (26%vs 1.5%; P < .001). In shoulder dystocia cases with birth weight greater than 4000 g, 33%h ad a second stage of labor greater than 2 hours. Conclusion In our population, t he combination of fetal macrosomia, second stage of labor longer than 2 hours an d the use of operative vaginal delivery were associated with shoulder dystocia i n nulliparous women.
