111例初产妇产程活跃期停滞的原因分析及处理

The cause analysis and treatment of 111 cases of early pregnant women during the active stage of labor

目的分析初产妇产程活跃期停滞的原因,并采取针对性处理。方法选取我院收治的产程活跃期停滞产妇111例作为观察组,选取同期未发生产程活跃期停滞产妇107例作为对照组,分析产程活跃期停滞的原因,并拟定有针对性的处理措施。结果观察组产妇枕前位率低于对照组,且枕后位率、枕横位率均高于对照组（P〈0.05）。观察组产妇潜伏期8~16h率高于对照组,潜伏期〈8小时率低于对照组（P〈0.05）。观察组新生儿体重≥4000g比例高于对照组,2500~3999g比例低于对照组（P〈0.05）。观察组产妇宫缩乏力发生率高于对照组（P〈0.05）。观察组产妇自然分娩率低于对照组,阴道助产胎吸术率、剖宫产率均高于对照组（P〈0.05）。结论异常胎头位置、胎儿因素以及产妇自身因素等可能导致产程活跃期停滞的发生,需要采取有针对性的处理,以保证分娩顺利进行。

Objective To analyze the causes of the primipara active period of stagnation, and to take targeted treatment. Methods 111 cases of patients with active maternal stagnation in our hospital were selected as the observation group, and 107 cases without active phase arrest maternal at the same production process were selected as the control group. The active labor causes arrest was analyzed, and the efficient solution was developed. Results The rate of posterior position and lateral position of the pillow in the observation group were all higher than those in the control group（P 〈 0.05）. In the observation group, the rate of 8-16 hours of incubation period was higher than that of the control group, the latency period was lower than that of control group（P 〈 0.05）.The Proportion of neonatal weight of observation group more than 4000 g, was higher than that of control group. The Proportion of neonatal weight of observation group between 2500 and 3999 g was lower than that of the control group（P 〈 0.05）. The maternal uterine atony incidence of observation group was higher than that of control group（P 〈 0.05）. The maternal natural childbirth rate of observation group lower than the control group. The fetal aspiration vaginal delivery rate and cesarean section rate of observation group were higher than the control group（P 〈 0.05）. Conclusion Abnormal fetal head position, fetal factors and maternal factors may lead to the occurrence of active stage of labor, and it needs to take targeted treatment to ensure the smooth progress of delivery.