摘要
目的:探讨第二产程持续性枕后位的产程特点与分娩方式的关系.方法:采用回顾性资料分析方法,对196例第二产程持续性枕后位的临床资料进行分析,发现均有产程异常表现,根据产程异常特点设计分类,其中第一产程无异常,仅表现第二产程异常的为单纯Ⅰ型;第一、第二产程均表现异常为复合Ⅱ型,并进行相关因素的对比分析.结果:Ⅰ型组主要分娩方式为阴道助产分娩,达64.56%,胎儿体重较小,多分布于3 000～3 500 g;Ⅱ型组主要分娩方式为剖宫产,达77.78%,无阴道自然分娩,胎儿体重较大,多分布于3 500～4 000 g.Ⅱ型组母儿不良预后即产后出血、胎儿宫内缺氧、新生儿窒息率、产伤及产褥病率明显高于Ⅰ型组,且Ⅱ型组中经阴道助产分娩者母儿不良预后发生率明显高于剖宫产者,在Ⅰ型组中这两者则无明显差别.结论:对进入第二产程的持续性枕后位,临床产程的观察有助于正确分娩方式的选择,从而减少母儿不良预后发生率.
Objective:To study the relative of characteristics of the labour course in persistent occipitoposteior in the second birth course and delivery modes.Methods:196 cases of the persistent occipitoposteior in the second birth course were analyzed retrospectively.All cases had abnormal expression of delivery course.According to the characteristics of the labour course,they were devided into type I and type II .Results:The rate of vaginal aid delivery was higher(64.56%) and fetal weight mainly was from 3 000~3 500 g in type I group;the rate of cesarean section was higher(77.78%) and fetal weight mainly was from 3 500~4 000 g in type II group.Postpartum hemorrhage, postpartum orbidity, neonatala asphyxia and injuyy of delivery in type II group were much than type I(P<0.05).In type II grop, perinatal prognosis was better in cesarean section delivery group than in vaginal aid delivery group(P<0.05).Conclusion:In persistent occipitoposteior in the second birth course, the survey of clinic birth course is good at the choice of delivery modes.
出处
《中国妇幼保健》
CAS
北大核心
2005年第6期712-714,共3页
Maternal and Child Health Care of China
关键词
产程
枕后位
分娩
预后
Labour course
Occipitoposteior
Delivery
prognosis
