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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Evidence-based labor and delivery management.
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Evidence-based labor and delivery management.

机译：循证劳动和交付管理。

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Our objective was to provide evidence-based guidance for management decisions during labor and delivery. We performed MEDLINE, PubMed, and COCHRANE searches with the terms labor, delivery, pregnancy, randomized trials, plus each management aspect of labor and delivery (eg, early admission). Each management step of labor and delivery was reviewed separately. Evidence-based good quality data favor hospital births, delayed admission, support by doula, training birth assistants in developing countries, and upright position in the second stage. Home-like births, enema, shaving, routine vaginal irrigation, early amniotomy, hands-on complications without sufficient benefits and should probably be avoided. We conclude that labor and delivery interventions supported by good quality data as just described should be routinely performed. All aspects with lower data quality should be researched with adequately powered and designed trials.
机译：我们的目标是为人工和分娩期间的管理决策提供循证指导。我们使用术语“分娩”，“分娩”，“妊娠”，随机试验以及分娩和分娩的各个管理方面（例如，提前入院）进行了MEDLINE，PubMed和COCHRANE搜索。人工和交付的每个管理步骤都分别进行了审查。基于证据的高质量数据有利于医院分娩，入院延迟，导尿法的支持，发展中国家的助产士的培训以及第二阶段的直立姿势。在家中分娩，灌肠，刮胡子，常规阴道冲洗，早期羊膜切开术，动手并发症并没有足够的益处，应避免使用。我们得出结论，应按常规执行由高质量数据支持的人工和分娩干预措施。数据质量较低的所有方面都应通过功能强大且经过设计的试验研究。

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