新式剖宫产术娩头困难194例分析

目的探讨新式剖宫产术娩头困难的原因及其对策。方法对于194例有剖宫产指征而娩头困难的孕妇进行回顾性分析。结果胎头高浮60例，占30.9％；胎头深定43例，占22．1％；巨大儿13例．占67％；胎头过度仰伸2例，占1％；麻醉不满意43例，占22.1％；瘢痕子宫切口位于原瘢痕AT2例，占1％；切口小10例，占5.2％；原因不明21例．占10.8％。结论术前对孕妇分娩条件，胎儿大小，胎头位置商低及临产时间长短全面了解，术时处理得当、及时，可降低新生儿窒息发生率和围产儿死亡率。

Objective To study the reason and treatment for difficulty in head birth of improved cesarean section.Methods Retrospective analysis of 194 cases of cesarean section had been operated for difficulty in head birth.Results There are 60 cases of sincipital presentation （30.9%）, 43 cases of anterior asynelitism （22.1%）, 2 cases of fetal macrosomia （1%）, 43 cases of unsatisfied in anaesthesia （22.1%）, 2 cases of section beneath the scared uterus （1%）, 10 cases of small sections （5.2%） and 21 cases of unknown etiology （10.8%） in the 194 cases of improved cesarean section.Conclusion To reduce the mortality and the incidence of neonatal asphyxia, we must master and treat various condition of pregnant woman before operation.