Fundal pressure during the second stage of labour | fundal pressure中文
FundalpressureduringthesecondstageoflabourforimprovingmaternalandfetaloutcomesWhatistheissue?Thesecondstageoflabouristhepushingstage,fromwhenthecervixisfullydilated(to10cm)untilthebabyisborn.Fetaldistress,failuretoprogress,maternalexhaustionoramedicalconditionwhereprolongedpushingisdangerous,cancomplicatethisstage.Applyingfundalpressurebypushingonthemother’sabdomeninthedirectionofthebirthcanalisoftenusedtoassistspontaneousvaginalbirth,shortenthelengthofthesecondstageandreducetheneedforinstru...
Fundal pressure during the second stage of labour for improving maternal and fetal outcomesWhat is the issue?
The second stage of labour is the pushing stage, from when the cervix is fully dilated (to 10 cm) until the baby is born. Fetal distress, failure to progress, maternal exhaustion or a medical condition where prolonged pushing is dangerous, can complicate this stage. Applying fundal pressure by pushing on the mother’s abdomen in the direction of the birth canal is often used to assist spontaneous vaginal birth, shorten the length of the second stage and reduce the need for instrumental birth (forceps‐ or vacuum‐assisted) or caesarean section. It is particularly relevant in low‐resource settings where options for operative birth are limited or not available. Manual pressure can be applied each time the woman has a contraction. Alternatively an inflatable belt can be worn which inflates to apply pressure during the contractions.
This review aimed to answer wh...