摘要
目的:探讨头位难产的发生、发展及围生期的结局.方法:将2004~2005年头位难产272例作为对照组,将2011~2012年头位难产66例作为观察组,两组进行对比分析.结果:两组头位难产的最主要原因均是持续性枕横位和枕后位,但2011~2012年高龄产妇和非致死性畸形胎儿造成的头位难产较2004~2005年有增加趋势.结论:头位难产发生率高,密切观察产程进展是早期发现和避免头位难产的重要手段,同时提高产科大夫的助产水平是提高围生期安全质量的重要保证.
Objective: To investigate the occurrence, development and perinatal outcome of cephalic presentation dystocia. Methods: 272 cases of cephalic presentation dystocia in our hospital from 2004 to 2005 were selected as the control group, while 66 cases cephalic presentation dystocia in our hospital from 2011 to 2012 were used as the observation group. Results of patients in both group were than compared and analyzed. Results: The most important causes of cephalic presentation dystocia in both groups were persistent occiput transverse position and posterior position. However, the cephalic presentation dystoeia caused by maternal age and nonfatal fetal malformations abortion from 2011 to 2012 increased more than that of the year from 2004 to 2005. Conclusions: Cephalic dystocia has a high incidence, and the close observation of the labor progress is the important mean for early detection and avoiding cephalic dystocia. At the same time, the improvement of the level of midwifery for obstetricians is the important guarantee to improve the perinatal safety.
出处
《华夏医学》
CAS
2013年第5期908-910,共3页
Acta Medicinae Sinica
关键词
头位难产
围生期结局
分娩方式
cephalic presentation dystocia
perinatal outcome~ way of labor