| 标题： | 过期妊娠非药物性引产干预指南 |
| title： | Guidelines for Non-pharmacological Methods of induction of labour for post-term pregnancy |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 标准指南 |
| classification： | Standard guideline |
| 领域： | 治疗 |
| field： | Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 产科医生，护士，助产士、引产的产妇 |
| Guide users： | Obstetrician, nurses, midwives, post-term pregnancy maternal |
| 证据分级方法： | 在本指南的制订过程中，我们将运用GRADE工具对干预性系统评价中检索和综合的证据进行质量评价，形成并报告推荐意见，证据质量分为高、中、低以及极低。采用CERQual方法对质性研究系统评价进行证据评价，并对推荐意见进行分级。应用AMSTAR（Assessment of Multiple Systematic Reviews）对系统评价和Meta分析的方法学质量进行评价。应用AGREEＩＩ对纳入的指南进行质量评价。 |
| Evidence grading method： | During the development of this guide, we will use the grade tool to quality evaluation, formation and reporting advice on the intervention system evaluation, forming and reporting the recommended advice, the quality of the evidence is high, low, and very low. Evidence evaluations were used to evaluate quality research system using CERQUAL approach and graded the recommended opinion. The methodology quality of system evaluation and Meta analysis is evaluated by using AMSTAR (Assessment of Multiple Systematic Reviews). Apply AGREEＩＩ for quality evaluation of the included guidelines. |
| 制定单位： | 南方医科大学 |
| Formulating unit： | Southern Medical University |
| 注册时间： | 2021-09-30 |
| Registration time： | |
| 注册编号： | IPGRP-2021CN312 |
| Registration number： | |
| 指南制订的目的： | 长期妊娠的定义是在最后一个月经期（月经)的第一天后超过42周(294天），或胎周在41周或以上的分娩。剖宫产率和死产、新生儿和新生儿后死亡率的风险显著增加。如果进行剖宫产手术，婴儿将面临手术损伤、呼吸系统问题的风险：母亲将面临麻醉反应、感染、出血、手术器官损伤的风险。引产是指在分娩开始前刺激子宫收缩以实现阴道分娩。非药理引产方法包括球囊导管或Foley导管、膜清扫或膜剥离、羊膜切开术、针灸、乳头刺激、性交、蓖麻油、浴液和/或灌肠、催眠放松。国内外尚无非药物干预的标准化指南，因此积极促进指南的制定在降低剖宫产率、改善母婴结局方面具有重要意义。 |
| Purpose of the guideline： | Prolonged pregnancy is defined as one that extends beyond 42 weeks (294 days) after the first day of the last menstrual period (Menstruation), or birth with gestational age of 41 weeks or more. There is a significant increase in the rate of cesarean section and in the risk of,stillbirth, neonatal and post-neonatal mortality in prolonged pregnancy.If a cesarean section is performed, the baby will face the risk of surgical injury, respiratory problems: the mother will face the risk of anesthesia response, infection, bleeding, surgical organ damage.Labor induction is the stimulation of uterine contractions during pregnancy before labor begins on its own to achieve a vaginal birth.Non-pharmacological methods of induction of labour include balloon catheter or Foley catheter,membrane sweeping or membrane stripping, amniotomy, acupuncture, nipple stimulation, intercourse,castor oil, bath, and/or enema,hypnotic relaxation.There are no standardized guidelines for non-drug intervention at home and abroad, so actively promoting the formulation of the guidance plays an important role in reducing the rate of cesarean section and improving maternal and infant outcomes. |
