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13140次分娩中持续性枕后(横)位848例,发生率为65%。随着胎儿体重的增加,持续性枕后(横)位的发生率明显增加,≥3500g胎儿的发生率高达96%,剖宫产率为891%。胎儿体重≥3000g,<4000g者产钳助产率最高(168%)。胎儿体重≥2500g,<3000g者胎吸助产率最高(187%)。体重<2500g者阴道自然分娩率为704%;体重≥2500g,<3000g者阴道自然分娩率明显降低(P<001)。持续性枕后(横)位的新生儿窒息率为142%,以≥3000g,<4000g者最高(166%)。胎儿体重≥3500g者产后出血率高达90%。建议:在持续性枕后(横)位的诊断与处理中应充分考虑到胎儿的体重因素,以减少母儿并发症
Of the 13,040 deliveries, there were 848 cases of persistent occipital (horizontal) position, the incidence was 65%. With the increase of fetal weight, the incidence of persistent occiput (transverse) significantly increased, the incidence of ≥ 3500g fetus was as high as 9.6%, and the rate of cesarean section was 89.1%. Fetal weight ≥ 3000g, <4000g forceps the highest yield (16.8%). Fetal weight ≥ 2500g, <3000g fetus assists the highest yield (18 7%). The natural delivery rate of vagina of body weight <2500g was 704%. The natural vaginal delivery rate of body weight≥2500g, <3000g was significantly decreased (P <001). The rate of neonatal asphyxia was 142% in persistent occipital (transverse) position, and was highest in ≥3000g, <4000g (166%). Fetal weight ≥ 3500g postpartum hemorrhage rate as high as 9 0%. Recommendation: In the continuous diagnosis of occiput (transverse) position and treatment should take full account of fetal weight to reduce maternal and child complications