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在引产与催产的各种方法中,人工剥膜与人工破膜是有效、简便而安全的。无论医疗设备条件如何,此方法可以解决因宫缩乏力、宫口扩张缓慢影响产程进展等情况,以期达到缩短产程,加速分娩的目的。一、人工剥膜的使用方法及作用术前作温肥皂水灌肠,排空膀胱,取膀胱截石位,常规消毒外阴、阴道,铺无菌孔巾,戴无菌手套,以右手成圆锥形伸入阴道,将示指或示中二指伸入宫颈内,稍扩张宫颈管,然后沿颈管四周将胎膜由于宫壁轻轻向四周剥离数圈,深度约4～6cm。剥膜时手指动作要轻,在宫颈尚未完全成熟,胎头位置高时,须注意勿使胎膜破裂,以免引起脐带脱垂。
In the abortion and oxytocin in a variety of methods, artificial and artificial rupture of the membrane is effective, simple and safe. Regardless of the condition of the medical equipment, this method can solve the problem of contractions due to uterine inertia, slow expansion of the cervix and so on, so as to shorten the labor process and accelerate the delivery. First, the use of artificial skin stripping method and the role of preoperative warming soapy water enema, emptying the bladder, bladder lithotomy position, routine disinfection of the vulva, vagina, shop sterile hole towel, wearing sterile gloves to the right hand into a conical Into the vagina, the index finger or show two fingers extended into the cervix, a slight expansion of the cervical canal, and then along the neck tube around the fetal wall due to the wall gently stripped a few laps a few weeks, a depth of about 4 ~ 6cm. Stripping the fingers to light action, in the cervix has not yet fully mature, the fetal head position is high, care should be taken not to rupture the membranes, so as not to cause umbilical cord prolapse.