头位难产100例临床分析与处理

Head difficult clinical analysis of 100 cases and treatment

目的总结分析100例头位难产病例的临床识别及处理方法,探讨如何及时发现头位难产、做出合理的恰当的处理,保证产妇及胎儿安全。方法对笔者所在医院2009年收治的100例头位难产病例,从发病原因、临床表现等方面进行回顾性分析,总结头位难产发生原因、识别方法及处理措施。结果头位难产发病率约为10%,早期临床表现为胎膜早破,继而可出现产程异常、宫缩乏力、胎头未衔接或衔接延迟等。常见头位为枕后位及枕横位。经正确判断及时处理后,37%的产妇可经阴道正常生产。结论对异常产程的正确处理,及时恰当处理胎头与置盆的位置关系,是减少头位难产的关键,可降低剖宫产率,减少并发症,改善分娩结局。

Objective Analysis of 100 cases of head difficult the clinical recognition and treatment on how to detect Head difficult to make proper and reasonable treatment to ensure maternal and fetal infant safety.Methods From 2009,100 patients admitted to Head difficult cases,from the pathogenesis,clinical manifestations were retrospectively analyzed and summarized Head difficult causes,recognition and treatment.Results Head difficult about 10%incidence of early clinical manifestations of premature rupture of membranes,then there may be abnormal labor,uterine inertia,fetal head is not convergence or convergence delay.Common posterior head position for the pillow and pillow transverse position.The accurate assessment and timely treatment,37%of mothers can be produced by normal vaginal.Conclusion The production process of the correct exception handling,timely and appropriate treatment of fetal head and pelvis position relationship is the key to reduce the Head difficult,can reduce the cesarean section rate,reduce complications and improve birth outcomes.