第二产程自发用力的临床应用现况与展望

摘要：提高产妇分娩体验是提高生育意愿、扭转人口负增长的重要策略之一。助产服务模式认为分娩是自然的生理过程，第二产程自发用力能够改善产妇分娩体验，已在多个国家和地区得到应用。对第二产程自发用力的内容、特点、应用现况及其对母婴结局的影响进行综述，旨在为第二产程用力管理提供参考。

关键词：第二产程；分娩；自发用力

DOI：10.3969/j.issn.1674490X.2024.05.005

中图分类号：R473.71     文献标志码：A     文章编号：1674490X（2024）05004807

Application status and prospects of spontaneous pushing during second stage of labour among women during vaginal birth

Abstract： Positive childbirth experience is one of the vital strategies to enhance birth intention and birth rates. Midwifery service supports that childbirth is a physiological process and spontaneous pushing during this process could enhance womens childbirth experience， which has been adopted by many countries or regions. This research aims to review and summarize the content and characteristic of spontaneous pushing during the second stage of labour and its effects on maternal and neonatal outcomes， thereby providing evidence for pushing management during the second stage of labour.

Key words： the second stage of labor; childbirth; spontaneous pushing

第二产程是分娩的关键环节，科学、有效的第二产程用力管理能够加快产程，促进自然分娩［1］。（剩余11668字）