Background： The one-step method was routine practices in China, scientific evidence to support this intervention is scarce. The purpose of this study was to observe the natural process of head-to-body delivery interv...Background： The one-step method was routine practices in China, scientific evidence to support this intervention is scarce. The purpose of this study was to observe the natural process of head-to-body delivery interval by waiting for at least one contraction （two-step） after head delivered in normal birth. Methods： From March 1 to March 30 in 2015 at Haikou Maternal and Child Hospital in China, normal vaginal birth with normal baby condition were recorded by video. Videotapes were transferred to computer then replayed and observed. Results： Ninety-two cases were enrolled in this study. The average head-to-body delivery interval by two-step delivery was 71.04± 61.02 s, （mean ＋ 2 standard deviation - 193.07 s, 95% confidence interval [15.65-229.15] s）. Fifty-one patients （51/92, 55.43%） were 〈60 s, 41 patients （41/92, 44.57%） were over 60 s. Shoulders delivered at the first contraction were 96.74% （89/92）, 3.26% （3/92） had delivered by the second contraction. Shoulders emerged from perineum were 71.73% （66/92）, 15.21% （14/92） transversely, and 13.04% （12/92） emerged from under pubic arch. Babies cried before the shoulder were 31.52% （29/92）, cried after birth 52.17% （48/92）, and 16.30% （15/92） did not cry after birth. Baby activities included as making faces, sucking, and bubbled from mouth and noses, and the lighter blue color of skin with good perfusion. Conclusions： The average time of head-to-body delivery interval was longer than 60 s by two-step delivery. Majority shoulders were delivered at the first contraction. Majority shoulders emerged from perineum rather from under pubic arch. The routine one-step method of shoulder delivery where the downward force applied is not necessary and is not the right direction. Baby＇s breath, making faces, sucking, bubble from noses and mouth, and the light blue color of the faces, all those signs during shoulder delivery indicated a normal live birth.展开更多
[目的]观察头体针治疗轻、中度单纯性压力性尿失禁(stress urinary incontinence,SUI)的疗效,为针刺治疗女性轻、中度单纯性SUI提供参考依据。[方法]选择2019年1月1日至2019年12月31日就诊于金华市第二医院康复科的轻、中度单纯性SUI患...[目的]观察头体针治疗轻、中度单纯性压力性尿失禁(stress urinary incontinence,SUI)的疗效,为针刺治疗女性轻、中度单纯性SUI提供参考依据。[方法]选择2019年1月1日至2019年12月31日就诊于金华市第二医院康复科的轻、中度单纯性SUI患者50例,随机分为研究组和对照组,研究组采用针刺百会、足运感区(前后正中线的中点,旁开左右各1厘米处为起点,由此点向后引一条平行于前后正中线、长3cm的直线)、三阴交,深刺气海、中极、秩边透水道、次髎,对照组采用提肛肌收缩运动疗法。观察比较两组患者治疗前后1h尿垫测试测得的漏尿量及国际尿失禁咨询委员会尿失禁问卷表简表(Short Form of International Consultation on Incontinence Questionnaire,ICI-Q-SF)评分,并比较两组总有效率。[结果]治疗后两组漏尿量和ICI-Q-SF评分组间差异均有统计学意义,研究组优于对照组(P<0.05);两组治疗前后组内差异也有统计学意义,治疗后均优于治疗前(P<0.05);研究组总有效率为76.0%,对照组总有效率48.0%,研究组疗效优于对照组(P<0.05)。[结论]头体针可以安全有效的缓解轻、中度单纯性SUI患者的症状,提高生活质量,值得临床推广使用。展开更多
文摘Background： The one-step method was routine practices in China, scientific evidence to support this intervention is scarce. The purpose of this study was to observe the natural process of head-to-body delivery interval by waiting for at least one contraction （two-step） after head delivered in normal birth. Methods： From March 1 to March 30 in 2015 at Haikou Maternal and Child Hospital in China, normal vaginal birth with normal baby condition were recorded by video. Videotapes were transferred to computer then replayed and observed. Results： Ninety-two cases were enrolled in this study. The average head-to-body delivery interval by two-step delivery was 71.04± 61.02 s, （mean ＋ 2 standard deviation - 193.07 s, 95% confidence interval [15.65-229.15] s）. Fifty-one patients （51/92, 55.43%） were 〈60 s, 41 patients （41/92, 44.57%） were over 60 s. Shoulders delivered at the first contraction were 96.74% （89/92）, 3.26% （3/92） had delivered by the second contraction. Shoulders emerged from perineum were 71.73% （66/92）, 15.21% （14/92） transversely, and 13.04% （12/92） emerged from under pubic arch. Babies cried before the shoulder were 31.52% （29/92）, cried after birth 52.17% （48/92）, and 16.30% （15/92） did not cry after birth. Baby activities included as making faces, sucking, and bubbled from mouth and noses, and the lighter blue color of skin with good perfusion. Conclusions： The average time of head-to-body delivery interval was longer than 60 s by two-step delivery. Majority shoulders were delivered at the first contraction. Majority shoulders emerged from perineum rather from under pubic arch. The routine one-step method of shoulder delivery where the downward force applied is not necessary and is not the right direction. Baby＇s breath, making faces, sucking, bubble from noses and mouth, and the light blue color of the faces, all those signs during shoulder delivery indicated a normal live birth.
文摘[目的]观察头体针治疗轻、中度单纯性压力性尿失禁(stress urinary incontinence,SUI)的疗效,为针刺治疗女性轻、中度单纯性SUI提供参考依据。[方法]选择2019年1月1日至2019年12月31日就诊于金华市第二医院康复科的轻、中度单纯性SUI患者50例,随机分为研究组和对照组,研究组采用针刺百会、足运感区(前后正中线的中点,旁开左右各1厘米处为起点,由此点向后引一条平行于前后正中线、长3cm的直线)、三阴交,深刺气海、中极、秩边透水道、次髎,对照组采用提肛肌收缩运动疗法。观察比较两组患者治疗前后1h尿垫测试测得的漏尿量及国际尿失禁咨询委员会尿失禁问卷表简表(Short Form of International Consultation on Incontinence Questionnaire,ICI-Q-SF)评分,并比较两组总有效率。[结果]治疗后两组漏尿量和ICI-Q-SF评分组间差异均有统计学意义,研究组优于对照组(P<0.05);两组治疗前后组内差异也有统计学意义,治疗后均优于治疗前(P<0.05);研究组总有效率为76.0%,对照组总有效率48.0%,研究组疗效优于对照组(P<0.05)。[结论]头体针可以安全有效的缓解轻、中度单纯性SUI患者的症状,提高生活质量,值得临床推广使用。
