Manual peeling

It can stimulate the uterus and the lower part of the uterus to cause reflex uterine contractions, which will open the cervix. Artificial stripping of the fetal membrane can stimulate the cervix and the lower uterus and cause a series of endocrine changes, and at the same time mechanically dilate the cervix to induce contractions and induce labor. It can be used alone or in combination with drug induction. Treatment of diseases: uterine sarcoma uterine cancer Indication Expired pregnancy or near-pre-production period preparation for childbirth, the cervix is not fully mature, and the fetal head is not in the basin. Preoperative preparation 1. Detailed medical history and comprehensive physical examination to exclude vaginal delivery contraindications, placenta preposition. 2. Disinfect the vulva. 3. Cervical scores estimate cervical maturity. Surgical procedure The surgeon extends the vagina into the vagina with the right hand, and uses the index finger or the middle finger to extend into the cervical canal. The cervical canal is slightly dilated first, and then gently peeled between the uterine wall and the membrane for 1 to 2 weeks, so that the peeling depth of the membrane is up to 3 ~4cm. Be gentle and do not rupture the membrane. complication The membrane is ruptured and the umbilical cord is prolapsed.