摘要
目的:对548例头位足月妊娠有分娩先兆及有终止妊娠医学指征的孕产妇施行计划分娩的临床回顾性分析,与同期随机抽样每月20例(共计480例)头位非计划分娩产妇及新生儿比较,结果表明:计划分娩成功率高,产程短,平均产程为5小时40分±2小时30分,产科并发症少,新生儿窒息死亡率低。计划分娩的目的在于有计划地增加产力,成功率和安全性与宫颈评分相关,计划分娩对提高产科质量,降低新生儿和孕产妇死亡率是必要的、可行的。
548 cases of planned cephalic presentation birth were compared with 480 cases of unplanned cephalic presentation birth.The results showed that planned birth has a higher successful rate,shorter labouring duration(average of 5 h.and 40 min.±2 h. 30 min.)less complicaions,and lower rate of neonate suffocate and death. The goal of the planned presentatian is to increase the strength of the parturients. Planned presentation is necessary and practical in reduction of neonate and parturient death.
关键词
头位
计划分娩
产力
产程
并发症
Cephalic presentation
Planned presentation
Labouring strength
Complication during presentation