论文部分内容阅读
目的:探讨活跃期行徒手旋转胎头对分娩结局的影响。方法:对300例持续性枕横位、枕后位行徒手旋转胎头的临床资料进行回顾分析。结果:将300例产妇在宫口开大不同阶段随机分为3组,每组100例。在正常宫缩和体位配合下以徒手旋转胎头后经阴道自然分娩231例,在宫口开大6~8 cm时旋转胎头后自然分娩成功率94.00%;当宫口开大6~8 cm胎先露在S+1-S+2时,自然分娩成功率98.41%最高。结论;活跃期行徒手旋转胎头能改变分娩结局,减少胎吸助产,降低剖宫产数量,增加阴道分娩率,操作简单,对胎儿损伤小,临床效果明显,值得推广。
Objective: To investigate the effect of hand rotation of fetal head during the active period on delivery outcome. Methods: The clinical data of 300 cases of continuous occipital transverse position and posterior occipital position rotated by hand were retrospectively analyzed. Results: 300 maternal women were randomly divided into three groups with 100 cases in each group. In normal contractions and posture with manual rotation of the fetal head after vaginal natural childbirth in 231 cases, 6-8 cm in the cervix to open the fetal head when the natural delivery success rate of 94.00%; when the cervix to open a large 6 to 8 cm fetus exposed in the S +1-S +2, the natural delivery success rate of 98.41% of the highest. Conclusions; In the active stage, hand rotation of the fetal head can change the outcome of childbirth, reduce abortion, reduce the number of cesarean section, increase the rate of vaginal delivery, simple operation, small fetal injury, clinical effect is obvious and worth promoting.