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目的:探讨持续性枕后位、枕横位产程特点及实施阴式分娩的可行性及在降低宫产率起到的作用。方法:持续性枕后位、枕横位采取体位改变,保持良好的子宫收缩力,徒手复位等处理。结果:本组286例持续性枕后位、枕横位产妇中,阴式顺产265例,儿头吸引助产20例,产钳助产1例,剖宫产45例。结论:良好的医患沟通、子宫收缩力、产妇体位、精神心理因素对持续性枕后位、枕横位的产程进展及分娩结局降低剖宫产率起决定性作用。
Objective: To investigate the characteristics of persistent occiput posterior position and occipital transverse birth and the feasibility of vaginal delivery and to reduce the rate of uterine output. Methods: Persistent occiput posterior position, occipital transverse position to take position changes, to maintain good uterine contractility, hand reduction and other treatment. Results: The group of 286 cases of continuous posterior occipital position, occipital transverse position maternal, vaginal birth in 265 cases, 20 cases of childbirth to attract midwifery, forceps midwifery in 1 case, 45 cases of cesarean section. Conclusion: Good communication between doctors and patients, uterine contractility, maternal body position and mental and psychological factors play a decisive role in the development of continuous occiput posterior position and occipital transverse position in labor process and cesarean section rate in delivery outcome.