初产妇头位难产45例分析及处理

Analysis and treatment of primipara cephalic dystocia in 45 cases

目的:探讨头位难产的识别、原因和处理方法。方法:对我院分娩的42例头位难产的初产妇的临床资料进行回顾性分析。结果:引起难产的原因中最主要的为胎位异常,占76.1%(32/42),而胎位异常中,持续性枕横位、枕后位占78.1%(25/32)。83.3%(35/42)的孕妇行剖宫产手术分娩。结论:对于头位难产,早期识别并预防,适时纠正轻微胎头位置异常是保证顺利分娩的关键。

Objective：To investigate the identification,cause and treatment of cephalic dystocia.Methods：The clinical data of 42 primiparas with cephalic dystocia in our hospital were analyzed retrospectively.Results：The main factor of cephalic dystocia was fetal position abnormality,accounting for 76.1%（2/42） of the primiparas.In fetal position abnormalities,persistent occipitotransverse position and occipitoposterior position accounted for 78.1%（25/32）.83.3%（35/42） of primiparas were performed cesarean section for delivery.Conclusion：For cephalic dystocia,early identification and prophylaxis,and timing rectification of light fetal head abnormality were the key factors for ensuring smooth puerperant.