单胎及头位分娩活跃期停滞310例临床分析

Clinical analysis of active phase stagnation of singleton pregnacies and fetal head postion of primipara of 310 cases

目的探讨单胎及头位分娩活跃期停滞原因并进行临床分析。方法选择单胎、头位分娩的活跃期停滞初产妇310例为观察组,选取同期正常分娩单胎、头位初产妇350例为对照组。观察2组产妇因素:产程潜伏期、产妇宫缩乏力、宫颈水肿发生率;胎儿因素:胎儿出生体质量、胎方位和胎头浮动情况。结果观察组产程潜伏期明显长于对照组,宫缩乏力、宫颈水肿发生率明显高于对照组,差异均有统计学意义(P<0.01)。观察组胎儿出生体质量高于对照组(P<0.05),胎儿枕横位、枕后位、胎头浮动发生率均高于对照组(P<0.05或P<0.01),胎儿枕前位发生率低于对照组(P<0.05)。结论活跃期停滞原因复杂,在产前和产程中应正确的评估产妇和胎儿情况,判断产程中的异常情况,积极处理,减少活跃期停滞发生。

Objective To explore the active period of stagnation in the cause of singleton pregnacies and fetal head postion of primipara. Methods Taken fetal head position of single mothers to give birth in early active period of stagnation of 310 cases for the observation group ,normal childbirth over the same period our department alone 350 cases of fetal head position primipara for the control group. Observed mother factors ： delivery process latency, the incidence of uterine inertia and cervical edema;Fetal factors：fetal birth weight after giving birth,fetal position,fetal head floating. Results The delivery process latency of observation group was longer than the control group, uterine atony, cervical edema were significantly higher than that of control group ,the differences were statistically significant （P 〈0.01 ）. Fetal birth weight of observer group was higher than control group（P 〈 0. 05 ） ,fetal occipital transverse, occiput posterior position and fetal head floating rate were also higher（ P 〈 0. 05 or P 〈 0.01 ）, fetal Pre-position pillow incidence was lower than the control group （ P 〈 0.05 ）. Conclusion The active period of stagnation of complicated factors is complex, in the prenatal and birth process should be the correct assessment of maternal and fetal conditions, the right to determine labor in the anomalies.