IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Luis Rojas Cedeño, Jorge A Carvajal
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引用次数: 0

摘要

产程图是一种用于监测产程进展的图形工具。本文回顾了近期有关分型图使用的文献,旨在评估分型图的使用是否会降低剖宫产率,并确定哪种模式更合适。文章分析了使用产程分层图与不使用产程分层图的对比研究,以及不同产程分层图模式的对比研究。结果表明,使用分型图与剖宫产率的显著降低无关,尤其是在剖宫产率较低的国家。然而,与 1994 年的经典模型相比,去除了潜伏期的修改版世界卫生组织分层图似乎更有优势,剖宫产率明显降低。尽管剖宫产图在降低剖宫产率方面并没有显示出明显的优势,但它仍然是一个有用的工具,可以用图表记录产程进展,从而改善临床决策。智利的剖宫产率很高,接近 45%,这表明实施世界卫生组织 2000 版分娩图可能是有益的。然而,需要在当地进行研究,以确认减少剖宫产的潜在益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current concepts on the use of the partogram to monitor labor progression.

The partogram is a graphic tool used to monitor labor progression. This article reviews the recent literature on the use of the partogram, aiming to evaluate whether its implementation reduces cesarean section rates and to determine which model is more appropriate. Studies that compared using the partogram with not using it were analyzed, as well as studies that contrasted different partogram models. The results indicate that partogram use is not associated with a significant reduction in cesarean section rate, particularly in countries with low cesarean section rates. However, the modified World Health Organization partogram, which eliminates the latent phase, appears to have advantages over the classic 1994 model, with significantly lower cesarean section rates. Although the partogram has not shown significant benefits in reducing cesarean sections, it is still a useful tool for graphically documenting the progress of labor, which could improve clinical decision-making. In Chile, the high cesarean section rates, close to 45%, suggest that implementing the WHO 2000 partogram could be beneficial. However, local studies are needed to confirm the potential benefits of reducing cesarean sections.

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来源期刊
Medwave
Medwave MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
8.30%
发文量
50
审稿时长
12 weeks
期刊介绍: Medwave is a peer-reviewed, biomedical and public health journal. Since its foundation in 2001 (Volume 1) it has always been an online only, open access publication that does not charge subscription or reader fees. Since January 2011 (Volume 11, Number 1), all articles are peer-reviewed. Without losing sight of the importance of evidence-based approach and methodological soundness, the journal accepts for publication articles that focus on providing updates for clinical practice, review and analysis articles on topics such as ethics, public health and health policy; clinical, social and economic health determinants; clinical and health research findings from all of the major disciplines of medicine, medical science and public health. The journal does not publish basic science manuscripts or experiments conducted on animals. Until March 2013, Medwave was publishing 11-12 numbers a year. Each issue would be posted on the homepage on day 1 of each month, except for Chile’s summer holiday when the issue would cover two months. Starting from April 2013, Medwave adopted the continuous mode of publication, which means that the copyedited accepted articles are posted on the journal’s homepage as they are ready. They are then collated in the respective issue and included in the Past Issues section.
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