摘要
目的 :探讨持续性枕横 (后 )位正确的处理方式及其对母婴的影响。方法 :收集持续性枕横 (后 )位 2 5 6例对其分娩方式及母婴预后进行回顾性分析。结果 :持续性枕横 (后 )位的发生率为 16 .86 % ,2 5 6例中 177例行剖宫产术 (占6 9.14 % ) ,6 3例行阴道助产术 (2 4 .6 1% ) ,16例自然分娩 (6 .2 5 % )。在新生儿体重≥ 35 0 0 g和产程异常中 ,阴道助产的新生儿窒息率及产妇软产道裂伤的发生率较剖宫产者高 (P<0 .0 1) ,产褥病率较剖宫产者低 (P<0 .0 5 ) ,产后出血的发生率两者无显著性差异 (P>0 .0 5 )。结论 :持续性枕横 (后 )位是难产的主要原因之一 ,积极处理产程 ,选择正确的分娩方式 ,以减少母婴并发症。
Objective:To investigate correct management modes and the effects on mothers and neonates of fetal persistent occiput transverse position(POTP) and persistent occiput posterior position(POPP).Methods:256 cases of POTP and POPP in the delivery modes and prognosis of both mothers and neonates were analyzed. Results:The incidence of POTP and POPP was 16.86%.In the 256 cases,177 women(69.14%) received cesarean section,63(24 61%) received vaginal aid childbirth,16(6.25%) delivered vaginally.In the fetal Weight≥3500g group and abnormal labour course group,the rate of neonatal asphyxia and the injury rate of maternal soft birth canal during vaginal aid childbirth were significantly higher than those in cesarean section( P <0.01). The puerperal morbidity was higher during cesarean section( P <0.05). There was no different in the incidence of postpartum hemorrhage between two groups( P >0.05).Conclusion:The POTP and POPP are major causes of dystocia.If the managements of labour course and choice of delivery mode are correct,the complications of both mothers and neonates would be reduced.
出处
《华夏医学》
2002年第6期738-740,共3页
Acta Medicinae Sinica
关键词
胎位不正
分娩方式
围生医学
abnormal fetal positions
delivery mode
perinatology
