头位难产早期识别和干预

Early identification and intervention for head-position dystocia

头位难产是异常分娩中常见的也是最难诊断的,早期识别并干预非常重要,可改善母儿预后。头位难产的临床表现有胎膜早破、产程异常、原发或继发宫缩乏力、胎头未衔接或延迟衔接、产妇过早屏气、宫颈阴道水肿及排尿困难等。无明显头盆不称时,应给予产妇充分试产的机会。

Head-position dystocia was a common disease in abnormal delivery, and it＇s difficult to diagnose. Early-identification and early-intervention could improve its prognosis and were very important for it. The clinical manifestation of headposition dystocia were including premature rupture of mem- branes, abnormal labor, primarily and secondmy uterine inertia, head of fetus was not adjoined or late to adjoin with pelvis, holding her breathing to make an effort earlier, cervix edema and clopedema and dysuresia and so on. When there was not obviously eephalopelvic disproportion, giving the chance for lying-in woman to delivery.