Fundal pressure during the second stage of labour | fundal pressure中文
Findingsofthereview:Fundalpressureisawidelyusedpracticewhichinvolvestheuseofmanualorinstrumentalpressureonmaternalabdomeninthedirectionofthebirthcanalwiththepurposeofacceleratingthesecondstageoflabour.Whileitisusedroutinelyinmanysettings,itisalsoconsideredobsoleteinmanycountriesandthereissomeconcernaboutitseffectivenessaswellasitspotentialadverseconsequences.Theaimofthisreviewwastodeterminethebenefitsandadverseeffects(forboththemotherandherbaby)offundalpressureinthesecondstageoflabour.Onlyon...
Findings of the review: Fundal pressure is a widely used practice which involves the use of manual or instrumental pressure on maternal abdomen in the direction of the birth canal with the purpose of accelerating the second stage of labour. While it is used routinely in many settings, it is also considered obsolete in many countries and there is some concern about its effectiveness as well as its potential adverse consequences. The aim of this review was to determine the benefits and adverse effects (for both the mother and her baby) of fundal pressure in the second stage of labour. Only one trial, judged by the authors to be of good methodological quality, was included in this review. That trial involved 500 nulliparous women (who had received epidural analgesia) compared fundal pressure by insufflatable belt with no fundal pressure. No significant differences were found in the duration of the second stage of labour, mode of delivery, five-minute Apgar scores, neonatal arterial c...