“导乐”一词出自希腊文“Doula”，专司指导孕妇进行顺利自然地分娩，于1996年在美国最早开展。它体现了“以人为本”，以产妇为中心的人性化服务。旧的分娩模式把孕产妇患者化，把自然分娩过程医疗化，且阴道分娩产痛对于孕产妇来说又是一种持久而强烈的疼痛，同时对胎儿的过分担心，往往使产妇在阴道分娩过程中产生恐惧感等，导致产程延长，胎儿宫内窘迫，致使剖宫产率上升。我院在孕妇阴道分娩过程中，给予镇痛分娩使其在生理上减轻疼痛，导乐陪伴分娩在心理、精神等方面给予支持帮助，使产妇在安心，愉快中顺利完成阴道分娩。导乐陪伴联合镇痛分娩，两者有机结合在一起，相互作用，在改善分娩质量及减少产后并发症取得了较好疗效，现报道如下。

Objective To investigate and compare the efficacy and safety of uterine cooker ballon and Dinoprostone for labor induction of term pregnancy with oligohydramnios .Methods From June 2012 to January 2013 96 cases of term pregnancy with oligohydramnios were selected and randomly divided into experimental group with uterine cooker ballon and control group with Dinoprostone .There were 48 cases in each group .Cervical ripening , general progress of labor , delivery mode and maternal and perinatal physical condition were compared between two groups .Results Compared with the control group , the first and second stage of labor could be cut down by uterine cooker ballon (t value was 3.682 and 7.033, respectively).Uterine cooker ballon had great effect on promoting cervical ripening and reducing cesarean section rate (χ2 value was 1.792 and 4.381, respectively, both P <0.05).But there was no significant difference in fetal distress (χ2 =1.344), neonatal asphyxia (0 case) and postpartum hemorrhage (t =0.505) between two groups (all P >0.05). Conclusion Uterine cooker ballon is effective and safe for labor induction of term pregnancy with oligohydramnios , and it is worthy of clinical application .

胎儿生长受限(Fetal growth restriction,FGR)是围生期主要并发症之一,其围生期患病率及围产期死亡率均较高,不仅近期会影响胎儿宫内的生长发育,而且远期还能影响儿童期及青春期的体能与智能发育.目前对于FGR小孕周及低体重胎儿的分娩方式尚未统一.现将我院249例FGR的有关资料分析如下.