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目的根据新产程标准分析巨大儿人工引产与自然临产的产程进展情况。方法收集在同济大学附属第一妇婴保健院产房阴道分娩巨大儿的产妇临床资料及分娩过程中产程进展情况资料,人工引产的446例产妇作为人工引产组,产程自然发动的397例产妇作为自然临产组,采用区间删除的回归分析方法分析产程各期及宫口扩大至各阶段的用时情况。结果按新产程标准巨大儿分娩潜伏期可大于16 h,自然临产组和人工引产组第95百分位数(P_(95))分别是16.1和16.5 h;活跃期可大于3 h,自然临产组和人工引产组P_(95)分别是3.4和3.1 h。宫口扩大6 cm以后产程进展明显加快,自然临产和人工引产的巨大儿阴道分娩产程进展相似。结论巨大儿阴道分娩的产程进展符合新产程图的管理标准,人工引产的巨大儿分娩与自然发动产程进展情况无差异。
Objective To analyze the progress of birth process of artificial abortion and spontaneous labor according to the new birth process standard. Methods The clinical data of maternal vaginal delivery and maternal labor progress during labor were collected from the maternity ward of the first maternal and child health hospital of Tongji University. The 446 maternal labor induced abortion was adopted as the artificial abortion group. 397 maternal mothers The labor group, using the method of regression analysis of interval deletion analysis of each stage of labor and cervix extended to all phases of the situation. Results According to the new birth process, the latent period of childbirth may be greater than 16 h. The 95th percentile (P_ (95)) of natural labor group and artificial labor group are 16.1 and 16.5 h respectively. The active period may be longer than 3 h. And artificial labor group P_ (95) were 3.4 and 3.1 h. Miocene 6 cm after the birth process significantly accelerated the progress of natural childbirth and artificial abortion large child vaginal delivery progress similar. Conclusion The progress of labor in giant child vaginal delivery conforms to the management standard of new birth chart. There is no difference in the progress of child birth and spontaneous labor induced labor.