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目的探讨头位难产的原因、临床表现及处理方法。方法选取我院89例头位难产患者进行回顾性分析和总结,观察患者治疗效果及并发症情况。并对孩子出生后身体状况进行评估,包括小孩的皮肤,心率,运动状态,呼吸,肌张力。达到10分为正常新生儿,4～7分有可能存在轻度危险。评分在4分以下考虑可能重度危险。结果 89例头位难产病例中行剖宫产术39例(43.8%),阴道助产17例(19.1%),经处理后自然分娩33例(37.1%)。新生儿娩出后Apgar评分在7分以上者有58例,4～7分者有28例,1～3分者有3例,未发生产妇及围生儿死亡。结论及时了解到头位难产的可能,及早发现,及时治疗并正确地选择分娩方式是改善妊娠结局的关键。头位难产如果处理不能正确及时,极有可能出现母婴并发症,医务人员在以后的工作中必须熟练操作,认真学习,避免危险的发生。
Objective To investigate the causes, clinical manifestations and treatment of head dystocia. Methods A retrospective analysis and summary of 89 patients with dystocia in our hospital were conducted. The therapeutic effect and complications of the patients were observed. The child’s physical condition after birth is assessed, including the child’s skin, heart rate, exercise status, respiration, and muscle tone. Up to 10 points for normal newborns, 4 to 7 minutes may be mild risk. Scoring below 4 points considers possible serious danger. Results 39 cases (43.8%) of cesarean section and 17 cases of vaginal delivery (19.1%) were treated by cesarean section in 89 cases of headpartum dystocia. 33 cases (37.1%) were delivered spontaneously after treatment. There were 58 infants with an Apgar score of 7 or greater after delivery of the newborn, 28 in 4 to 7 and 3 in 1 to 3, with no maternal and perinatal deaths. Conclusions It is important to understand the possibility of dystocia in the first place, to find out, treat and correct the mode of delivery timely to improve the outcome of pregnancy. If the first bit of dystocia can not be handled correctly and timely, most likely complications of maternal and child health workers in the future must be proficient in the work, study hard to avoid the danger.