徒手转胎位处理头位难产的临床疗效观察

Manual Correct Position Observation the Clinical Efficacy of Treatment of Cephalic Presentation Dystocia

目的探究分析采取徒手转胎位处理头位难产的临床效果。方法选取我院2012年1月至2013年12月收治的150例分娩的头位难产患者作为临床研究对象,所有患者给予徒手转胎位处理。结果 150例产妇中,产妇的阴道分娩成功146例,成功率为97.3%,其中,2例为产钳助产,2例转为剖宫产;平均第二产程为75 min,产后平均出血量约为250 m L;新生儿Apgar评分≥7分的有147例,新生儿Apgar评分<7分的有3例,3例新生儿经过吸氧等处理后,Apgar评分均恢复到正常范围。结论处理头位难产采取徒手转胎位处理,能够显著降低剖宫产率和阴道助产率,并减少并发症,值得临床推广。

Objective To explore analysis to hand correct position dystocia clinical treatment effect. Method 150 cases of delivery methods in our hospital from January 2012 to December 2013 year admitted to the head dystocia patients as a clinical study, all patients were given manually correct position processing. Results 150 cases of maternal vaginal delivery, the 146 cases were successful, the success rate is 97.3%, among them, 2 cases of forceps delivery, 2 cases were converted into cesarean section; the average for 75 minutes in the second stage of labor, postpartum hemorrhage volume average is about 250 mL; neonatal Apgar score ≥ 7 points in 147 cases, neonatal Apgar score 7 points in 3 cases, 3 cases of neonatal after oxygen treatment, Apgar score were returned to the normal range. Conclusion The treatment of head dystocia take hand turn fetal treatment, can significantly reduce the rate of cesarean section and vaginal delivery rate, and reduce complications, worthy of clinical application.