...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Instrumental delivery and ultrasound: A multicentre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery
【24h】

Instrumental delivery and ultrasound: A multicentre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery

机译：器械分娩和超声检查：一项多中心随机对照试验，对胎儿头部位置与标准护理进行超声评估，以预防器械分娩时的发病

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective To determine whether the use of ultrasound can reduce the incidence of incorrect diagnosis of the fetal head position at instrumental delivery and subsequent morbidity. Design Two-arm, parallel, randomised trial, conducted from June 2011 to December 2012. Setting Two maternity hospitals in the Republic of Ireland. Sample A cohort of 514 nulliparous women at term (≥37 weeks of gestation) with singleton cephalic pregnancies, aiming to deliver vaginally, were recruited prior to an induction of labour or in early labour. Methods If instrumental delivery was required, women who had provided written consent were randomised to receive clinical assessment (standard care) or ultrasound scan and clinical assessment (ultrasound). [Correction added on 17 April 2014, after first online publication: Sentence was amended.] Main outcome measure Incorrect diagnosis of the fetal head position. Results The incidence of incorrect diagnosis was significantly lower in the ultrasound group than the standard care group (4/257, 1.6%, versus 52/257, 20.2%; odds ratio 0.06; 95% confidence interval 0.02-0.19; P < 0.001). The decision to delivery interval was similar in both groups (ultrasound mean 13.8 minutes, SD 8.7 minutes, versus standard care mean 14.6 minutes, SD 10.1 minutes, P = 0.35). The incidence of maternal and neonatal complications, failed instrumental delivery, and caesarean section was not significantly different between the two groups. Conclusions An ultrasound assessment prior to instrumental delivery reduced the incidence of incorrect diagnosis of the fetal head position without delaying delivery, but did not prevent morbidity. A more integrated clinical skills-based approach is likely to be required to prevent adverse outcomes at instrumental delivery.
机译：目的确定超声检查是否可以减少在器械分娩和随后的发病率中对胎儿头部位置的错误诊断。设计两臂平行，随机试验，于2011年6月至2012年12月进行。在爱尔兰共和国设有两家妇产医院。样本在引产或早产之前招募了一组514名未足月妇女，这些妇女在足月（≥37周妊娠）患有单胎头胎妊娠，旨在通过阴道分娩。方法如果需要工具分娩，则将获得书面同意的妇女随机接受临床评估（标准护理）或超声扫描和临床评估（超声）。 [2014年4月17日，首次在线发表后修正：对该句子进行了修正。]主要结果衡量对胎儿头部位置的错误诊断。结果超声组的错误诊断发生率显着低于标准护理组（4 / 257，1.6％，而52 / 257，20.2％;优势比为0.06; 95％置信区间为0.02-0.19; P <0.001） 。两组的分娩间隔决定相似（超声平均13.8分钟，SD 8.7分钟，而标准护理平均14.6分钟，SD 10.1分钟，P = 0.35）。两组的母亲和新生儿并发症，工具分娩失败和剖腹产的发生率无显着差异。结论在器械分娩前进行超声检查可减少对胎儿头部位置的不正确诊断，而不会延迟分娩，但不能预防发病。可能需要采用更加综合的基于临床技能的方法来预防器械分娩时的不良后果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号