瓦尔萨尔瓦动作对分娩和生产的影响综述

IF 0.8 Q4 OBSTETRICS & GYNECOLOGY
N. Keating, Grainne Rooney, S. McGuinness, F. McAuliffe
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引用次数: 0

摘要

瓦尔萨尔瓦动作(VM)是分娩第二活跃期的正常生理现象。如果产妇患有可能会因 Valsalva 而加重的疾病,则可能会建议其进行剖腹产。剖腹产有可能导致产妇发病,因此,在选择最适合产妇个人情况的分娩方式时,向产妇提供适当的咨询非常重要。可以通过自然推产而不是剖腹产来避免 VM。也可以使用神经镇痛和器械助产来避免长时间的胎膜早破。我们概述了胎膜早破对孕期各器官系统的影响,并总结了有关其影响的现有证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A review of the effects of Valsalva manoeuvre in labour and birth
The Valsalva manoeuvre (VM) is a normal physiological event that occurs during the second active phase of labour. In women with medical conditions that may be exacerbated by the Valsalva, caesarean birth may be recommended. This carries with it its own potential for maternal morbidity, and thus it is important that women are appropriately counselled about the mode of delivery most suited to their individual situation. It is possible to avoid VM with spontaneous pushing rather than reverting to caesarean birth. Neuraxial analgesia and instrumental delivery may also be used to avoid prolonged VM. We outline the effect of VM on the various organ systems in pregnancy and summarise the available evidence on its implication.
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来源期刊
Obstetric Medicine
Obstetric Medicine OBSTETRICS & GYNECOLOGY-
CiteScore
1.90
自引率
0.00%
发文量
60
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