Partograms and Nomograms of Cervical Dilatation in Management of Primigravid Labour

Partograms and Nomograms of Cervical Dilatation in Management of Primigravid Labour
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初产妇分娩管理中宫颈扩张的产程图和列线图

DOI:
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发表时间:
1973
影响因子:
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通讯作者:
J. Studd
J. Studd
中科院分区:
医学1区
文献类型:
--
作者:
J. Studd

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菲尔波特的图形劳动已被修改并用于15,000名工人;它已被工作人员一致接受。构建了一张正常进行性宫颈扩张图,显示了不同宫颈扩张阶段的初产妇的宫颈正常进行性扩张。对诺模图的回顾评估表明,它可以将正常分娩与注定会导致异常结局的分娩区分开来,例如第一和第二阶段较长,工具分娩的发生率更高,以及新生儿的阿普加评分较低。有人建议,无论是在专科单位还是在全科医生单位,使用代表正常分娩进度的模板,以及菲尔波特的剖腹图,都将有相当大的用处。
Philpott's graphic labour has been modified and used in 15,000 labours; it has been unanimously accepted by the staff. A nomogram has been constructed to show the normal progressive dilatation of the cervix for primigravidae admitted at different stages of cervical dilatation. Retrospective evaluation of the nomogram showed that it can separate normal labour from labour destined to result in an abnormal outcome, such as longer first and second stages, a greater incidence of instrumental delivery, and babies with low Apgar scores. It is suggested that the use of a stencil representing normal labour progress, together with Philpott's partogram, will be of considerable use, both in specialist and in general-practitioner units.