不协调性子宫收缩乏力产程的监护及处理

Guardianship and management of labor in incoordinated uterine atony

目的探讨不协调子宫收缩乏力产程的监护及处理措施。方法回顾性分析48例不协调性子宫收缩乏力产妇分娩的监护及处理情况,总结其临床效果。结果经全面整体监护和处理后,48例不协调性子宫收缩乏力的产妇均成功分娩,其中自然分娩成功率85.42%(41/48),经阴道助产后顺利分娩率10.42%(5/48),在第二产程出现停滞2例(4.17%),在与产妇家属进行沟通之后选择行剖宫产术,术后母婴平安。结论针对不协调性子宫收缩乏力产妇应密切观察产程,给予全程整体监护及处理措施,确保母婴安全。

Objective To investigate guardianship and management measures for labor in incoordinated uterine atony. Methods A retrospective analysis was made on condition of guardianship and management in 48 incoordinated uterine atony patients, and their clinical effects were summarized. Results After comprehensive uardianship and management, all the 48 patients with incoordinated uterine atony had successful delivery. The success rate of spontaneous labor was 85.42% （41/48）, and that of transvaginal midwifery was 10.42% （5/48）. There were 2 cases （4.17%） with stasis in the second stage of labor, and they underwent cesarean section after communication with their families. The patients and infants were all healthy after operation. Conclusion Close observation of labor and comprehensive guardianship and management measures are necessary for incoordinated uterine atony patients, so as to ensure safety of mother and infant.