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目的:探讨通过侧俯卧位法使枕位异常的产妇顺利分娩的疗效。方法:选取我院2015年1月-8月进入产程活跃早期,经阴道检查确诊为枕位异常的足月初产妇118例为研究对象,随机选取66例产妇为实验组,即侧俯卧位法;52例产妇为对照组,目前临床上采取的是自由卧位。观察两组产妇产程进展、分娩结局及母儿预后情况。结果:实验组有59例产妇由枕位异常转至枕前位,6例产妇因胎窘行剖宫产术,对照组有20例产妇由枕位异常转至枕前位,5例产妇因胎窘行剖宫产术。两组产妇中由枕位异常转至枕前位有明显差异,差异有统计学意义(P<0.05)。实验组产妇产程进展时间、顺产率、产后出血、新生儿窒息率均低于对照组,差异有统计学意义(P<0.05)。结论:在产程活跃早期,一经发现枕位异常,即进行侧俯卧位法,可以有效提高顺产率,缩短产程时间,减少产后出血的发生率及降低新生儿窒息率,有利于提高产科质量,临床应用价值较高。
Objective: To investigate the efficacy of maternal delivery of abnormal occipital position through lateral prone position method. Methods: A total of 118 full-term primiparous women who entered the active phase of labor during the first trimester of labor in our hospital from January 2015 to August of our hospital were selected as study subjects. 66 maternal women were selected randomly as experimental group, 52 cases of maternal control group, the current clinical take the free position. The progress of maternal labor, delivery outcome and maternal and child prognosis were observed in two groups. Results: In the experimental group, 59 maternal women were transferred from the abnormal occipital position to the anterior occipital position, 6 maternal women received cesarean section due to fetal embarrassment, and 20 maternal women in the control group were transferred from the occipital abnormality to the anterior occipital position. Five cases of maternal causes Fetal embolism cesarean section. There was a significant difference between the two groups of maternal mothers who shifted from the abnormal occipital position to the anterior occipital position, with significant difference (P <0.05). The experimental group maternal labor progress time, birth rate, postpartum hemorrhage, neonatal asphyxia were lower than the control group, the difference was statistically significant (P <0.05). Conclusion: In the early stage of active labor, once the abnormal occipital position is found, the lateral prone position method can effectively improve the yield, shorten the duration of labor, reduce the incidence of postpartum hemorrhage and reduce neonatal asphyxia, which is beneficial to improve the quality of obstetrics Applied value is higher.