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目前有人认为,分娩开始后变换产妇的体位,宫缩可减弱或增强。但关于其生理机制尚不清楚。这种报告较多,最近有Mendez-Bauer等报告,对20名分娩开始的头位初产妇进行调查。嘱产妇每30分钟由仰卧位变为站立位,记录当时的宫缩曲线、胎心音、内诊所见、产妇的痛苦状况等。分析结果是15人站立位时宫缩增强,19人站立位时痛苦缓和。在分娩时间方面,初产妇和经产妇的产程均能缩短,因未发现有合并症,所以建议将全部仰卧位分娩改取站立位。 McManus对40名孕38周以上头位孕妇进行调查,其中包括初产妇、经产妇、侧卧位、站立位4
At present, some people think that after the beginning of labor change maternal position, contractions can be reduced or enhanced. But its physiological mechanism is not clear. This report is more recent, Mendez-Bauer and other reports, the beginning of 20 births of the first position of primipara survey. Zhu Fu maternal every 30 minutes from the supine position to stand, record the contraction of the curve at the time, fetal heart sound, see the clinic, maternal pain and so on. The result of the analysis was that when 15 people were standing, the uterus contracted stronger and 19 people stood painfully relaxed. In childbirth time, both primipara and maternal labor can be shortened, because no complications were found, it is recommended that all supine position to take delivery stand. McManus conducted a survey of 40 pregnant women over the age of 38 weeks, including primipara, maternal, lateral position, standing position 4