摘要
目的:分析158例头位难产产妇的分娩方式、导致其发生头位难产的原因及其不良妊娠结局的发生率。方法:选择2017年11月至2018年12月期间在沧州市人民医院进行分娩的158例头位难产产妇作为研究对象。对这些产妇的临床资料进行回顾性研究,分析并总结其分娩方式、导致其发生头位难产的原因及其不良妊娠结局的发生率。结果:在这158例头位难产产妇中,因存在产道异常、胎儿异常及宫缩乏力而导致头位难产的产妇分别有40例(占25.32%)、101例(占63.92%)和17例(占10.76%);其中,接受阴道助产的产妇有52例(占32.91%),接受剖宫产手术的产妇有106例(占67.09%)。这158例头位难产产妇不良妊娠结局的发生率为46.2%(73/158),其中发生产后出血的产妇有10例(占6.33%),发生胎儿宫内窘迫的产妇有35例(占22.15%),发生新生儿颅内出血的产妇有16例(占10.13%),发生新生儿窒息的产妇有12例(占7.59%)。结论:产妇存在产道异常、胎儿异常及宫缩乏力是导致其发生头位难产的主要原因。发生头位难产产妇的分娩方式主要是进行剖宫产手术,此类产妇发生产后出血、胎儿宫内窘迫、新生儿颅内出血及新生儿窒息等不良妊娠结局的风险较高。
Objective:To analyze the mode of delivery,the causes of cephalic dystocia and the incidence of adverse pregnancy outcomes in 158 cases of cephalic dystocia.Methods:158 cases of first-borns who underwent delivery in Cangzhou People’s Hospital from November 2017 to December 2018 were selected as study subjects.A retrospective study was conducted on the clinical data of these pregnant women to analyze and summarize their delivery modes,the causes of cephalic dystocia and the incidence of adverse pregnancy outcomes.Results:Among the 158 cases of cephalic dystocia,40(25.32%),101(63.92%)and 17(10.76%)had cephalic dystocia due to abnormal birth canal,fetal abnormality and uterine weakness,respectively.Among them,52(32.91%)received vaginal delivery and 106(67.09%)received cesarean section.The 158 cases of head during childbirth puerpera the incidence of adverse pregnancy outcome was 46.2%(73/158),including in postpartum hemorrhage of maternal in 10 cases(6.33%),fetal intrauterine distress of maternal 35 cases(22.15%),neonatal intracranial hemorrhage of maternal in 16 cases(10.13%),neonatal asphyxia of maternal in 12 cases(7.59%).Conclusion:Abnormal birth canal,fetal abnormality and uterine weakness are the main causes of cephalic dystocia.Caesarean section is the main delivery method for women with cephalic dystocia,who are at high risk of postpartum hemorrhage,fetal intrauterine distress,intracranial hemorrhage of the newborn and asphyxia of the newborn.
作者
代艳
Dai yan(Cangzhou People’s Hospital,Cangzhou 061000,China)
关键词
头位难产
分娩方式
原因
不良妊娠结局
Cephalic dystocia
Delivery mode
The reason
Adverse pregnancy outcome
