孕晚期体位宣教及临床意义

Management of patient posture In pregnancy and cinical value

目的:探讨孕晚期采用不同卧位对分娩方式的影响。方法:选择活跃期前入产房待产的孕产妇300例,对其孕晚期产前宣教及采用卧位进行调查,B超确定其胎儿方位,产程中取对侧卧位,观察其分娩结局。结果:孕晚期经常取侧卧位(试验组)218例,B超确定枕前位为146例,枕横位51例,枕后位21例。孕晚期自由卧位者(对照组)82例,B超确定枕前位为37例,枕横位31例,枕后位14例。枕前位顺产168例,顺产率92%,枕横位顺产65例,顺产率79%。枕后位顺产15例,顺产率43%。孕晚期不同卧位对活跃期前枕方位影响有显著性差异,不同枕方位顺产率有显著差异。结论:通过孕晚期体位宣教,孕妇孕晚期采取侧卧位有助于减少头位胎位异常,增加顺产率。

Objective Ti study the effect if different lying pisitiin during pregency in delivery mide. Method 300 pregnant wimen whi were befire active periid were selected. We researched their prenatal educatiin and lying pisitiin during pregency,and ibserved their preg-nancy iutcime. Results There were 218 pregnant wimen whi were lateral pisitiin,including 146 pregnant wimen whi were iccipitianterii pisitiin,51 pregnant wimen whi were iccipititransverse pisitiin,and 21 pregnant wimen whi were iccipitipisteriir pisitiin. While there were 82 pregnant wimen whi were free pisitiin,including 37 pregnant wimen whi were iccipitianterii pisitiin,31 pregnant wimen whi were iccipititransverse pisitiin,and 14 pregnant wimen whi were iccipitipisteriir pisitiin. Conclusion Lateral decubitus pisitiin in late pregnan-cy can reduce the head abnirmal fetal pisitiin,increase the rate if vaginal delivery.