头位难产的临床分析

Clinical analysis of head position dystocia

目的探讨头位难产的原因及分娩方式。方法回顾性分析251例头位难产的临床资料,对其结果和产生原因进行分析探讨。结果 251例头位难产中65例为持续性枕后位,108例为持续性枕横位,共占头位难产的68.9%,23例为产道异常,8例为巨大儿,7例为精神心理因素。结论密切观察产程进展和胎头下降,是早期发现头位难产的重要手段,选择良好分娩方式,能降低母婴危险因素。

Objective To explore the causes and partrition way of head position dystocia. Methods Retro-spectively analyzed the information of 251 cases of head position dystocia patients and discussed the res-ults and causes. Results In the 251 cases,65 cases were head after persistent in childbirth,108 cases were head traverse persistent,accounted for 68.9% of dystocia of head position dystocia.The birthcanal anomalies were 23 cases,the over weight baby were 8 cases,suffering from mental pas psychological factors were 7 cases. Conclusion The best way to reduce maternal and infant risk factors are to observe the progress and fetal head drop closely,early detection is an important way to reduce dystocia,choosing a good delivery is also a good way.