头位难产476例临床分析

Head difficult delivery 476 clinical analysis of example

目的 探讨头位难产的诊断、处理及预防。方法 对2002年1月-2003年12月476例头位难产进 行回顾性分析。结果 476例头位难产中胎头位置异常361例,占75.84％。本组剖宫产率82.35％,占同期内剖宫 产总数的34.78％。结论 胎头位置异常是发生头位难产的主要原因。大多数胎头位置异常为持续性枕横位和枕 后位,可以试产;而严重的胎头位置异常,必须行剖宫产结束分娩。产程开始的正确及时诊断、维持较好的产力、 早期诊断并及时纠正胎头位置异常是预防头位难产的重要措施。

Objective To Study the head the diagnosis for difficult delivery to handle and prevent. Methods To 2002 January -2003 December 476example head difficult delivery proceed review analysis . Results 476 example head difficult delivery, inside fetus head position abnormality 361 regular meeting, occupying 75.84% this cesarean section rate 82.35%,total amount 34.7% of the same period cesarean section . Conclusions Fetus head the position unusually is an occurrencen head of important measure for main reason for difficult delivery. Majority fetus head position unusually is persistent occipitoposterior position and persistent occipitotransverse position, can trying the delivery; but serioursly position abnormality, must cesarean section ending delivery to give birth to baby. Stage of labor on time examine a patienting the good delivery dint of maintenance, the earlier periord examine a patienting and on time rectifying the fetus head the position unusually is preventing the head the difficult delivery.