125例原发性宫缩乏力分析

Analysis of 125 Cases of Primary Uterine Atony

目的:探讨原发性宫缩乏力与假临产的鉴别方法,吸取经验教训,降低剖宫产率及新生儿窒息率。方法:回顾分析125例原发性宫缩乏力分娩过程。结果:125例原发性宫缩乏力中手术率52.8%,枕后位占44.8%(66/125),巨大儿占11.2%(14/125),胎儿窘迫占14.4%(18/125),新生儿窒息占14.4%(18/125),产后出血占20%(25/125)。结论:原发性宫缩乏力是难产的预警,应该重视,分析其原因,及时处理,减少剖宫产率及产后并发症,降低新生儿窒息率。

Objective：To study the identification methods of primary uterine atony and false labor,absorb experience to teach a lesson,reduce the rate of cesarean section and neonatal asphyxia rate.Method：125 cases of primary contractions fatigue process of delivery were analyzed retrospectively.Result：125 cases of primary contractions fatigue operation rate was 52.8%,occiput posterior position accounted for 44.8%,macrosomia accounted for 11.2%,accounted for 14.4%,fetal distress,neonatal asphyxia,postpartum hemorrhage accounted for 14.4%,accounted for 20%.Conclusion：Primary uterine atony is dystocia warning,should pay attention to the timely processing,analysis of its causes,reduce the cesarean section rate and postpartum complications,reduce the rate of neonatal asphyxia.