摘要
目的:探讨因胎方位异常(枕横位及枕后位)所致初产妇临产头浮的不同产程干预和分娩结局。方法:选取因胎方位异常致初产妇临产时头浮226例,随机分成两组,113例为观察组在活跃早期经人工破膜并手转胎头处理;另113例为对照组在活跃早期仅行人工破膜术。并将两组产程特征,母儿结局进行分析比较。结果:两组产妇产程异常发生率、临床干预成功率、剖宫产率、母儿并发症发生率差异均有统计学意义(P<0.05)。结论:活跃早期进行手转胎头术可使相应的初产妇剖宫产率降低。同时,如积极干预失败后应尽早剖宫产,以降低母儿并发症发生率。
Objective To investigate the stages of labor and delivery outcomes of labor head floating of primipara caused by the abnormal fetal position （ occipital transverse or posterior position）. Method 226 cases of primipara who had labor head floating caused by abnormal fetal position were randomly divided into two groups, 113 cases in observation group had artificial rupture of membranes and turned fetal head; 113 cases in the control group only had artificial rupture of membranes. The clinical features of labor and maternal neonatal outcomes in the two groups were analyzed. Results The rate of abnormal labor process ,the successful rates of clinical interventions ,the cesarean sec- tion rate, the mother and baby＇complication rate were statistically significant between the two groups （P 〈 0. 05）. Conclusion Turning fetal head can be used in abnormal head floating primipara to lower rate of cesarean section. Intervention failure should adopt actively cesarean section to reduce the mother and baby＇s complications.
出处
《吉林医学》
CAS
2014年第10期2037-2038,共2页
Jilin Medical Journal
关键词
胎方位
临产头浮
分娩结局
Fetal position
Labor head floating
Birth outcomes
