配合多普勒全程干预胎方位促进分娩的护理

Doppler fetal position with the full intervention to promote childbirth care

目的:探讨配合多普勒全程干预胎方位加快第一产程和第二产程指导与护理方法。方法总结了医院自2010年1月-2010年9月对255例临产初产妇配合多普勒定胎方位并在活跃期采取了侧俯平卧位和宫口开全采取床头抬高约30°指导与护理。结果因头盆不称行剖腹产40例,剖腹产率明显下降,新生儿轻度窒息3例,产后出血均≤300ml,窒息率也下降。结论分娩过程中严密观察及护理是十分重要的,通过多普勒监测胎心和胎方位的确诊,及时发现胎儿宫内窘迫和全程干预胎方位有显著成效,即降低了剖腹产率、新生儿窒息率,也减少了产后出血率,提高了母婴安全的产时服务模式。

Objective：to explore cooperation doppler full intervention tire azimuth accelerate first and second labor labor guiding and nursing methods.Methods summarize the hospital since January 2010—2010 in September of 255 cases of birth primigravida cooperate doppler set in the womb azimuth and lulls adopted lateral prone peripharyngeal mouth open all adopt and palace bed raise about 30°guiding and nursing.The result did not say a cesarean section head basin in 40 cases,cesarean section rate decreased obviously,neonatal mild choking 3 cases,postpartum hemorrhage are acuities 300ml.Conclusion delivery process strict observation and care is important,through the doppler monitoring TaiXin and tire orientation of the diagnosis,timely the fetus intrauterine distress and whole tire azimuth has remarkable effect intervention,which reduce the cesarean section rate,newborns suffocation rate,also reduced the rate of postpartum hemorrhage,improving the maternal and infant safe intrapartum service mod