徒手旋转在头位难产产妇助产护理中的临床应用

Clinical Effect of Unarmed Rotation in Nursing of Parturient with Head Position in Dystocia

目的观察与分析徒手旋转在头位难产产妇助产护理中的临床应用效果。方法从本院2017年1月至2017年12月接收的头位难产产妇中,随机抽取名412例产妇,将其分为观察组与对照组,各206例,分别予以徒手旋转和常规助产方法。观察对比两组的自然分娩率及产程。结果观察组产妇自然分娩率显著高于对照组产妇;观察组产妇并发症发生率显著低于对照组产妇;观察组产妇活跃期和第二产程时间显著低于对照组产妇,差异具有统计学意义(P<0.05)。结论头位难产产妇进行徒手旋转可改善胎儿体位,提高产妇的自然分娩率。

Objective To observe and analyze the clinical effect of unarmed rotation in the nursing of patients with head-position dystocia. Methods From January 2017 to December 2017,412 cases of maternal dystocia were randomly selected and divided into observation group and control group,206 cases in each group,given free-hand rotation and routine midwifery respectively. The natural labor rate and labor stage were observed and compared between the two groups. Results The rate of natural childbirth of the observation group were significantly higher than those in control group;the complication rate in the observation group was significantly lower than the control group. The active stage and the second stage of labor in the observation group were significantly lower than those in the control group(P<0.05). Conclusion Head position dystocia maternal rotation after free hands,improve the position of the fetus,improve the natural childbirth rate of the parturient,the clinical value is high,and it can be widely used.