Abstract：
Childbirth is a defining moment in anyone\'s life, and it occurs 140 million times per year. Largely a physiologic process, parturition does come with risks; one mother dies every two minutes. These deaths occur mostly among healthy women, and many are considered preventable. For each death, 20 to 30 mothers experience complications that compromise their short- and long-term health. The risk of birth extends to the newborn, and, in 2020, 2.4 million neonates died, 25% in the first day of life. Hence, intrapartum care is an important priority for society. The American Journal of Obstetrics & Gynecology has devoted two special Supplements in 2023 and 2024 to the clinical aspects of labor at term. This article describes the content of the Supplements and highlights new developments in the induction of labor (a comparison of methods, definition of failed induction, new pharmacologic agents), management of the second stage, the value of intrapartum sonography, new concepts on soft tissue dystocia, optimal care during the third stage, and common complications that account for maternal death, such as infection, hemorrhage, and uterine rupture. All articles are available to subscribers and non-subscribers and have supporting video content to enhance dissemination and improve intrapartum care. Our hope is that no mother suffers because of lack of information.
摘要：
分娩是一个决定性的时刻，在任何人的生活，每年发生1.4亿次。主要是生理过程，分娩确实有风险；每两分钟就有一位母亲死亡。这些死亡主要发生在健康女性中，许多被认为是可以预防的。对于每一个死亡，20至30名母亲经历了损害短期和长期健康的并发症。出生的风险延伸到新生儿，and,2020年，240万新生儿死亡，25%在生命的第一天。因此，产时护理是社会的重要优先事项。《美国妇产科杂志》在2023年和2024年专门针对分娩的临床方面进行了两项特别补充。本文介绍了补充的内容，并重点介绍了引产方面的新发展（方法比较，失败归纳法的定义，新的药物），第二阶段的管理，产时超声检查的价值，软组织难产的新概念，在第三阶段的最佳护理，以及导致产妇死亡的常见并发症，如感染，出血,还有子宫破裂.所有文章均可提供给订阅者和非订阅者，并具有支持视频内容，以增强传播并改善产期护理。我们希望没有母亲因为缺乏信息而受苦。
