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目的分析初产妇临产后胎头浮动的影响因素及分娩结局。方法将医院2010年1月-2011年12月足月头位分娩初产妇符合临产后头浮条件病例93例与同期临产后胎头衔接病例93例的临床资料进行回顾性分析。结果两组产妇骨盆异常,胎儿体重方面差异有统计学意义(P值分别<0.01及<0.05)。胎膜早破,产程延长发生率高,剖宫产率明显增加。结论定期产前检查,并尽早作出判断和处理,尽可能减小不良损害,使母婴顺利度过分娩期,确保母婴安全,降低母婴并发症,使母婴危害降至最低。积极进行产程处理,改善分娩结局,警惕临产后胎头浮动,充分试产,密切监护,及早发现难产因素。
Objective To analyze the influencing factors of fetal head floating after primiparous labor and labor outcomes. Methods A retrospective analysis was made on the clinical data of 93 primiparae with full-term first-term birth in hospital from January 2010 to December 2011 in line with the first case of postpartum floating condition and 93 cases of fetal head-to-head convergence case in the same period. Results There were significant differences in pelvic anomalies and fetal weight between the two groups (P <0.01 and <0.05, respectively). Premature rupture of membranes, prolonged labor rate is high, cesarean section rate increased significantly. Conclusions Regular prenatal examination, as early as possible to make judgments and treatment, as far as possible to reduce the adverse damage, so that mothers and babies successfully overfertility, to ensure mother and child safety, reduce maternal and child complications, maternal and child hazards to a minimum. Active labor process, improve delivery outcomes, guard against postpartum fetal head floating, full trial production, close guardianship, early detection of dystocia.