产程

Although the durationof labor and pain relief was unchanged, these findings supportthat ambulation during labor may be advantageous.

尽管产程和疼痛减轻的程度没有改变，上述发现还是支持在产程中走动有益的观点。

Birth process diagram combined with cephalic presentation score has very important role in the the recognise of head-position difficult labor and the selection of the mode of labor.

产程图结合头位分娩评分法，对头位难产异常产程的早期识别及选择恰当的分娩方式上具有重要的指导意义。

Case Report: In this report, we present a case of uterine rupture in a 32-year-old multiparous woman after the trial of labor during which 100μg misoprostol was placed in the posterior vagina fornix.

病例报告：一位32岁，妊娠39周（G3P1A1）的妇女因落红而至本院引产，产程一切正常，住院时的Bishop score为0分，因而使用100μg misoprostol 阴道塞剂来引产，在引产过程中，胎儿情况良好，在引产5小时后，就进入产房准备生产，后因fetal distress安排紧急剖腹生产，产下一男婴，3710g，3→4但在术中发现子宫的右侧壁有破裂的情形，而紧急以Vicryl 1°缝合子宫，很幸运地在缝合后很快的控制住子宫的出血。

The average time of first stage of labor is 5 hours, natural childbirth rate is 95%; Team B had the childbirth with strong celialgia, the average time of first stage of labor is 10 hours, natural childbirth rate is 95%.

第一产程平均为5小时，自然分娩率为95%，B组在分娩过程中腹痛难忍，第一产程平均为10小时，自然分娩率为90%。

Results The natrural labor rate of nulliparous women was high of birth process diagram Type Ⅰ and Type Ⅱ and Cephalic presentation score above 12.The vaginal aid delivery rate of birth process diagram Type Ⅲ and TypeⅣ and cephalic presentation score from 10 to 11 was high. All of the Type V and score below 9 accepted cesarean Section.

结果 产程图为Ⅰ型、Ⅱ型和头位分娩评分在12分以上的自然分娩率高；产程图为Ⅲ、Ⅳ型和头位分娩评分在11分的产妇阴道助产分娩率明显增高；产程图为V型和头位分娩评分在9分以下者全部采用了剖宫产。

At such a rate,the suffocation incidence of the newborn was about 606％,and the incidence of complication and sequelae of the puerperaants was about 5.58％.Conclusion: The perineotomy parturitono may have remarkable significance in the second course of parturition in avoiding perineum laceration,alleviating the pressure of the pelvic tissues on fetus' head,shortening the second course of parturition,as well as in decreasing the suffocation incidence of the newborn.

会阴切开阴道助产术在第二产程中为避免会阴及盆底严重裂伤，减轻盆底组织对胎头的压迫、缩短第二产程、加速分娩、降低新生儿窒息率具有很大的意义，只有合理掌握手术的指征以及避免过多干预和进行手术助产，会阴切开阴道助产术就可取得良好的效果，侧切率就能得到很好的控制，否则将会产生一系列并发症，对母婴带来很大的危害。

An interview guide, entitled "Maternal Perception of the Onset of Lactation", was also used to obtain milk secretion data. Results found a mean onset of lactation of 78.2±18.7 hours (range=42 to 121 hours). The prevalence of delayed lactation onset was 43.6%(n=58). Slighly over half of participants (56.9%, n=33) were primiparous. Parity, total second stage of labor duration, duration of second labor stage beyond one hour, and perinea wound pain were the most significant predictors of delayed lactation onset.

研究结果发现：(1)首次泌乳时间的平均值为78.2±18.7小时（范围42至121小时）；(2)产妇自觉延迟泌乳的发生机率为43.6%(n=58)，其中初产妇占56.9%(n=33)，经产妇占43.1%(n=25)；(3)产次、第二产程时间、第二产程时间大於一小时、第一到第三天会阴伤口疼痛分数，是延迟首次泌乳时间的重要预测因子。

Methods 120 Primiparas were adopted bupivacaine and Fentinyl for epidural anesthesia during labor other 150 cases were notperformed any labor analgesia. The pain grading was used for Visual Analogue Scale, The pain relief effects , the labor course and situation of the fetal were observed in two groups and compared the relief effects and the labor course .

采用低浓度的布比卡因与芬太尼硬膜外微泵持续给药对120例产妇进行分娩镇痛与同期未干预的产妇150例相对照，用视觉模拟疼痛评分进行疼痛分级，观察记录孕妇三个产程所用的时间及胎儿的健康情况，比较两组的镇痛效果，产程时间。

CLB could obviously strengthen uterine contraction and shorten the TSL, it is cheap, convenient and with no side-effect, so it is a new safe, effective method for improving prognosis of primiparae and newborn, especially for those nonindicated in using oxytocine or infusion of fluid profusely.

产力宝具有显著加强产力，缩短第二产程作用，副作用小，给药方便，不失为临床一安全有效的改善母儿预后的药物，尤其适用于不宜使用催产素及不宜大量输液者。

Methods:Investigation group included sixty parturient nulliparas used ambulatory labor analgesia from active phase of labor.Control group included sixty parturient nulliparas without use of ambulatory labor analgesia.

研究组为无内科并发症的正常初产妇共60例，产程中采用分娩镇痛；对照组为无内科并发症的正常初产妇60例，产程中不采用分娩镇痛。

Neither the killing of Mr Zarqawi nor any breakthrough on the political front will stop the insurgency and the fratricidal murders in their tracks.

在对危险的南部地区访问时，他斥责什叶派民兵领导人对中央集权的挑衅行为。

In fact,I've got him on the satellite mobile right now.

实际上 我们已接通卫星可视电话了