围分娩期胎儿储备功能的评估
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摘要
在围分娩期应结合产前高危因素及产时评价手段如电子胎心监护和胎儿头皮刺激等,评估胎儿的储备功能及宫内健康状态,指导临床医生及时、有效地干预,从而避免因胎儿缺氧导致的不良结局。
It is crucial to assess the fetal reserve function and intrauterine health status before and during labor,based on antenatal high risk factors and fetal surveillance methods such as intrapartum electronic fetal monitoring and fetal scalp stimulation,which can guide clinicians to intervene in a timely and effective manner,thus avoiding adverse outcomes due to fetal hypoxia.
It is crucial to assess the fetal reserve function and intrauterine health status before and during labor,based on antenatal high risk factors and fetal surveillance methods such as intrapartum electronic fetal monitoring and fetal scalp stimulation,which can guide clinicians to intervene in a timely and effective manner,thus avoiding adverse outcomes due to fetal hypoxia.
引文
[1]郑勤田,杨慧霞,译.产科学正常和异常妊娠[M].7版.北京:人民卫生出版社,2018:291-323.
[2]Coleman L,Strachan B.Best practice in labour and delivery[M].London UK:Cambridge University Press,2016:74-83.
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[4]Macones GA,Hankins GD,Spong CY,et al.The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring:update on definitions,interpretation,and research guidelines[J].J Obstet Gynecol Neonatal Nurs,2008,37(5):510-515.
[5]Vintzileos AM,Nochimson DJ,Guzman ER,et al.Intrapartum electronic fetal heart rate monitoring versus intermittent auscultation:a meta-analysis[J].Obstet Gynecol,1995,85(1):149-155.
[6]Alfirevic Z,Devane D,Gyte GM,et al.Continuous cardiotocography(CTG)as a form of electronic fetal monitoring(EFM)for fetal assessment during labour[J].Cochrane Database Syst Rev,2017,(2):CD006066.
[7]Nelson KB,Dambrosia JM,Ting TY,et al.Uncertain value of electronic fetal monitoring in predicting cerebral palsy[J].NEJM,1996,334(10):613-618.
[8]Skupski DW,Rosenberg CR,Englinton GS.Intrapartum fetal stimulation test:a meta-analysis[J].Obstet Gynecol,2002,99(1):129-134.
[9]Trochez RD,Sibanda T,Sharma R,et al.Fetal monitoring in labor:are accelerations good enough?[J].J Matern Fetal Neonatal Med,2005,18(5):349-352.
[10]Liston R,Sawchuck D,Young D.SOGC Clinical practice guideline.No.197b-fetal health surveillance:intrapartum consensus guideline[J].JOGC,2018,40(4):e298-e322.
[11]Goodwin TM,Milner-Masterson L,Paul RH.Elimination of fetal scalp blood sampling on a large clinical service[J].Obstetric Gynecol,1994,83:971-974.
[12]Chandraharan E.Should national guidelines continue to recommend fetal scalp blood sampling during labor?[J].J Matern Fetal Neonatal Med,2016,29(22):3682-3685.
[13]RCOG Press.Intrapartum care of healthy women and their babies during childbirth[EB/OL].http://www.nice.org.uk/guidance/CG55/NICE Guideline[.2007-09].
[14]Alfirevic Z,Devane D,Gyte GML.Continuous cardiotocography(CTG)as a form of electronic fetal monitoring(EFM)for fetal assessment during labour[J].Cochrane Database Syst Rev,2013,(5):CD006066.
[15]Garite TJ,Dildy GA,McNamara H,et al.A multicenter controlled trial of fetal pulse oximetry in the intrapartum management of nonreassuring fetal heart rate patterns[J].Am J Obstet Gynecol,2000,183(5):1049-1058.
[16]Bloom SL,Spong CY,Thom E,et al.Fetal pulse oximetry and cesarean delivery[J].N Engl J Med,2006,355(21):2195-2202.
[17]Kuhnert M,Schmidt S.Intrapartum management of nonreassuring fetal heart rate patterns:a randomized controlled trial of fetal pulse oximetry[J].Am J Obstet Gynecol,2004,191(6):1989-1995.
[18]East CE,Brennecke SP,King JF,et al.The effect of intrapartum fetal pulse oximetry,in the presence of a nonreassuring fetal heart rate pattern,on operative delivery rates:a multicenter,randomized,controlled trial(the FOREMOST trial)[J].Am JObstet Gynecol,2006,194(3):606-616.
[19]East CE,Begg L,Colditz PB,et al.Fetal pulse oximetry for fetal assessment in labour[J].Cochrane Database Syst Rev,2014,7(10):CD004075.
[20]ACOG Practice Bulletin.Management of intrapartum fetal heart rate tracing[J].Obstet Gynecol,2010,116(5):1232-1240.
[21]漆洪波,段赵宁.胎儿心电图ST段分析及其应用[J].中国实用妇科与产科杂志,2010,26(2):110-113.
[22]Neilson JP.Fetal electrocardiogram(ECG)for fetal monitoring during labour[J].Cochrane Database Syst Rev,2015,21(12):CD000116.
[23]Bhide A,Chandraharan E,Acharya G.Fetal monitoring in labor:implications of evidence generated by new systematic review[J].Acta Obstet Gynecol Scand,2016,95(1):5-8.
[2]Coleman L,Strachan B.Best practice in labour and delivery[M].London UK:Cambridge University Press,2016:74-83.
[3]Badawi N,Kurinczuk JJ,Keogh JM,et al.Antepartum risk factors for newborn encephalopathy:the Western Australian casecontrol study[J].BMJ,1998,317:1549.
[4]Macones GA,Hankins GD,Spong CY,et al.The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring:update on definitions,interpretation,and research guidelines[J].J Obstet Gynecol Neonatal Nurs,2008,37(5):510-515.
[5]Vintzileos AM,Nochimson DJ,Guzman ER,et al.Intrapartum electronic fetal heart rate monitoring versus intermittent auscultation:a meta-analysis[J].Obstet Gynecol,1995,85(1):149-155.
[6]Alfirevic Z,Devane D,Gyte GM,et al.Continuous cardiotocography(CTG)as a form of electronic fetal monitoring(EFM)for fetal assessment during labour[J].Cochrane Database Syst Rev,2017,(2):CD006066.
[7]Nelson KB,Dambrosia JM,Ting TY,et al.Uncertain value of electronic fetal monitoring in predicting cerebral palsy[J].NEJM,1996,334(10):613-618.
[8]Skupski DW,Rosenberg CR,Englinton GS.Intrapartum fetal stimulation test:a meta-analysis[J].Obstet Gynecol,2002,99(1):129-134.
[9]Trochez RD,Sibanda T,Sharma R,et al.Fetal monitoring in labor:are accelerations good enough?[J].J Matern Fetal Neonatal Med,2005,18(5):349-352.
[10]Liston R,Sawchuck D,Young D.SOGC Clinical practice guideline.No.197b-fetal health surveillance:intrapartum consensus guideline[J].JOGC,2018,40(4):e298-e322.
[11]Goodwin TM,Milner-Masterson L,Paul RH.Elimination of fetal scalp blood sampling on a large clinical service[J].Obstetric Gynecol,1994,83:971-974.
[12]Chandraharan E.Should national guidelines continue to recommend fetal scalp blood sampling during labor?[J].J Matern Fetal Neonatal Med,2016,29(22):3682-3685.
[13]RCOG Press.Intrapartum care of healthy women and their babies during childbirth[EB/OL].http://www.nice.org.uk/guidance/CG55/NICE Guideline[.2007-09].
[14]Alfirevic Z,Devane D,Gyte GML.Continuous cardiotocography(CTG)as a form of electronic fetal monitoring(EFM)for fetal assessment during labour[J].Cochrane Database Syst Rev,2013,(5):CD006066.
[15]Garite TJ,Dildy GA,McNamara H,et al.A multicenter controlled trial of fetal pulse oximetry in the intrapartum management of nonreassuring fetal heart rate patterns[J].Am J Obstet Gynecol,2000,183(5):1049-1058.
[16]Bloom SL,Spong CY,Thom E,et al.Fetal pulse oximetry and cesarean delivery[J].N Engl J Med,2006,355(21):2195-2202.
[17]Kuhnert M,Schmidt S.Intrapartum management of nonreassuring fetal heart rate patterns:a randomized controlled trial of fetal pulse oximetry[J].Am J Obstet Gynecol,2004,191(6):1989-1995.
[18]East CE,Brennecke SP,King JF,et al.The effect of intrapartum fetal pulse oximetry,in the presence of a nonreassuring fetal heart rate pattern,on operative delivery rates:a multicenter,randomized,controlled trial(the FOREMOST trial)[J].Am JObstet Gynecol,2006,194(3):606-616.
[19]East CE,Begg L,Colditz PB,et al.Fetal pulse oximetry for fetal assessment in labour[J].Cochrane Database Syst Rev,2014,7(10):CD004075.
[20]ACOG Practice Bulletin.Management of intrapartum fetal heart rate tracing[J].Obstet Gynecol,2010,116(5):1232-1240.
[21]漆洪波,段赵宁.胎儿心电图ST段分析及其应用[J].中国实用妇科与产科杂志,2010,26(2):110-113.
[22]Neilson JP.Fetal electrocardiogram(ECG)for fetal monitoring during labour[J].Cochrane Database Syst Rev,2015,21(12):CD000116.
[23]Bhide A,Chandraharan E,Acharya G.Fetal monitoring in labor:implications of evidence generated by new systematic review[J].Acta Obstet Gynecol Scand,2016,95(1):5-8.