尽管随着现代医学科学的发展,新的监测仪器、新的检测方法层出不穷,而产程中了解宫口扩张及胎先露下降等产程进展情况还是依靠肛门检查(肛查)或阴道检查。无论哪一种检查都会增加临产妇的不适感。作者通过20年的助产生涯,谈谈对足月妊娠单胎头位初产妇在第一产程早期不做肛查,而依靠临床表现来判断产程进展的临床体会,现总结报告如下。 Although with the development of modern medical science, new monitoring instruments and new detection methods emerge in an endless stream, and labor progress in understanding the progress of the cervix such as dilatation of the cervix and declining birth rate depends on anus examination (anal examination) or vaginal examination. No matter what kind of examination will increase maternal discomfort. The author through 20 years of midwifery career, talk about full-term single head fetus pregnancy in the first stage of labor without anal examination, and clinical manifestations to determine the progress of clinical experience, are summarized as follows.