优化第二产程管理：多中心随机对照试验。

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-01-15 DOI:10.1097/GRF.0000000000000854

Alexander M Saucedo, Alison G Cahill

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引用次数: 0

摘要

结合之前和之后的产科文献，回顾 "优化第二产程管理 "随机对照试验的结果。除了回顾母试验和二次研究外，还进行了多数据库检索。对接受神经麻醉的无阴道患者随机进行立即或延迟催产，结果显示阴道分娩率没有差异。然而，延迟用力与第二产程时间延长和围产期发病率增加有关。应就第二产程用力的时机和延长第二产程的风险向患者提供适当的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Optimizing Management of the Second Stage of Labor: A Multicenter Randomized Controlled Trial.

To review the findings of the Optimizing Management of the Second Stage of Labor randomized controlled trial in the context of prior and subsequent obstetric literature. A multi-database search was performed in addition to a review of the parent trial and secondary studies. Nulliparous patients with neuraxial anesthesia randomized to either immediate or delayed pushing showed no difference in vaginal delivery rates. However, delayed pushing is associated with an increased duration of the second stage and perinatal morbidity. Patients should be appropriately counseled on the timing of second-stage pushing and the risks of prolonged second-stage labor.

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来源期刊

Clinical obstetrics and gynecology 医学-妇产科学

CiteScore

2.70

自引率

0.00%

发文量

186

审稿时长

3 months

期刊介绍： Each issue of Clinical Obstetrics and Gynecology is a complete symposium on one or two timely topics of interest in obstetrics and gynecology. For each quarterly issue, two prominent guest editors solicit contributions on key clinical topics of interest to practicing physicians. Procedures, current clinical problems, medical and surgical treatments, and effective diagnostic aids are all carefully reviewed in original articles. The result is an instructive resource that dispenses trustworthy clinical guidance that enhances your understanding of key areas of your practice.