阴道助产的准备工作
阴道助产可以避免吗？
Encourage women to have continuous support during labour asthis can reduce the need for assisted vaginal birth. A
鼓励妇女在分娩期间获得持续的支持，以减少对阴道助产的需求。A
Inform women that epidural analgesia may increase the need forassisted vaginal birth although this isless likely with newer analgesic techniques. [New 2020] A
告知妇女硬膜外镇痛可能增加阴道助产的需求，尽管使用较新的镇痛技术则可能性较小。[New2020] A
Inform women that administering epidural analgesia in thelatent phase of labour compared to the active phase oflabour does not increase the risk of assisted vaginal birth. [New 2020] A
告知妇女，在潜伏期与活跃期采取硬膜外镇痛不会增加阴道助产的风险。[New2020] A
Encourage women not using epidural analgesia to adopt uprightor lateral positions in the second stage oflabour as this reduces the need for assisted vaginal birth. A
鼓励未实施硬膜外镇痛的妇女在第二产程中采用直立或侧卧位，因为这会减少对阴道助产的需求。 A
Encourage women using epidural analgesia to adopt lying downlateral positions rather than upright positionsin the second stage of labour as this increases the rate of spontaneous vaginal birth. [New 2020] A
鼓励采取硬膜外镇痛的妇女在第二产程中采用侧卧位而不是直立位，因为这会增加自然阴道分娩的几率。[New2020] A
Recommend delayed pushing for 1–2 hours in nulliparous womenwith epidural analgesia as this may reduce theneed for rotational and midpelvic assisted vaginal birth. B
建议硬膜外镇痛的初产妇延迟1-2小时用力，因为这可以减少中骨盆平面阴道助产和旋转胎头的需要。 B
Do not routinely discontinue epidural analgesia during pushingas this increases the woman’s pain with no evidence of a reduction in the incidence of assisted vaginalbirth. [New 2020] A
不要在用力过程中常规停用硬膜外镇痛，因为这会增加妇女的疼痛，而且也没有证据表明能使阴道助产的发生率降低。[New2020] A
There is insufficient evidence to recommend any particularregional analgesia technique in terms of reducingthe incidence of assisted vaginal birth. [New 2020] A
没有足够的证据建议采取特定的局部镇痛技术可以减少阴道助产的发生率。[New2020] A
There is insufficient evidence to recommend routine oxytocinaugmentation for women with epidural analgesiaas a strategy to reduce the incidence of assisted vaginal birth. [New 2020] A
没有足够证据建议对硬膜外镇痛的妇女常规使用缩宫素可减少阴道助产的发生率。[New2020] A
