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弗里德曼产程曲线一直是产程管理中重要的工具,对临床医生指导孕产妇分娩过程中适时的产程处理、给予产时干预、早期有效判断难产、明确剖宫产指征,从而保障母婴安全起着关键性作用。但随着近几十年来妊娠人群特点的变化、产时干预方法以及临床处理时限的改进和完善,既往一直沿用的产程曲线受到了越来越多学者的质疑。经过六十余年的探索,国内外对产程时限的划分取得了新的共识,并制定出产程曲线新的标准,对指导产程处理、减少不必要的干预以及有效降低剖宫产率具有重要意义。本文将简述新产程曲线的类型更替及所面临的质疑。
Friedman labor curve has been an important tool in the management of labor, clinicians to guide the process of timely delivery of pregnant women during childbirth, given Interim Intervention, early effective judgment of dystocia, cesarean indications clear to protect the mother and child Safety plays a key role. However, with the changes in the characteristics of pregnant women in recent decades, the method of labor-time intervention and the improvement and perfection of the clinical treatment time limit, more and more scholars have questioned the curve of the labor process which has been used in the past. After more than sixty years of exploration, the division of labor time has gained new consensus both at home and abroad, and set new standards for the production process curve. It is of great significance to guide the labor process, reduce unnecessary interventions and effectively reduce the rate of cesarean section . This article will outline the types of new production curve changes and the challenges faced.