特殊体位护理对枕后位及枕横位产妇分娩效果的影响

Special Position on Labor Process in Women with Persistent Occipito Posterior Position or Persistent Occipito Transverse Position

目的对产程中通过改变产妇体位矫正枕后位及枕横位的效果进行观察。方法在第一产程进入活跃期后取诊断为枕后位及枕横位而无明显头盆不称的产妇120例,随机分为研究组和对照组,每组60例。对研究组产妇实施特殊体位护理以纠正胎位;对照组产妇常规护理。结果研究组在缩短产程、提高自产率、降低手术产率、减少产后出血、降低胎儿及新生儿的窒息发生率方面均优于对照组,两组比较有显著性差异(P<0.01)。结论在产程中指导产妇采取特殊体位对纠正枕后位及枕横位是有效的,可降低手术产率,提高产科的分娩质量,且方法简单,易于在临床推广使用。

Objective To observe the outcome of special position intervention in women with persistent occipito posterior position（POP） or persistent occipito transverse position（POT）. Methods Totally 120 women who had POP or POT in their active phase of first stage of labor and had no obvious cephalopelvic disproportion （CPD） were randomly divided into experimental group and control group（ n =60）. Special position to correct fetal position was given to patients in the experimental group; routine nursing was given to the patients in the control group. Results Compared with those in the control group, patients in the experimental group had higher natural delivery rate, lower cesarean section rate, less postpartum bleeding, and lower asphyxia rate （ P〈0.01）. Conclusion Special position is effective for correcting women with POP or POT; it can reduce cesarean section,up-grade labor quality;and it is simple to exercise and easy to be popularized clinically.