头位难产的原因分析及分娩方式的选择

Analysis of the Causes of Dystocia in Head Position and Choice of Delivery Methods

目的针对孕妇头部难产的原因以及分娩方式的选择进行分析探讨。方法选取我省妇幼保健院于2016年3月至2018年8月130例头部难产产妇,且通过回顾性分析对产妇的难产原因以及临床特点进行分析,并针对产妇的难产情况给予产妇阴道助产或剖宫产方式进行分娩。结果分析产妇头位难产与分娩方式的关系,持续性枕横位、持续性枕后位、高直位、前不均倾位、颜面位等难产中采用阴道分娩的产妇例数分别为22(41.51%)、18(33.96%)、12(22.64%)、1(1.89%)、0(0%),持续性枕横位、持续性枕后位、高直位、前不均倾位、颜面位等难产中采用剖宫产的产妇例数分别为25(32.47%)、31(40.26%)、6(7.79%)、8(10.39%)、7(9.09%)。结论通过本文分析研究可以得出,枕后位、枕横位是造成产妇头部难产的主要因素,若是处理不当会对母婴造成严重的危害,选择合适的分娩方式,能够显著降低母婴危害,值得广泛推广。

Objective To analyze the causes of dystocia in pregnant women and the choice of delivery methods.Methods A total of 130 cases of dystocia in the head of the Maternal and Child Health Hospital of our province were selected from March 2016 to August 2018. The causes of dystocia and clinical features were analyzed retrospectively,and maternal vagina was given to the dystocia of the mother. Midwifery is performed in midwifery or cesarean section.Results The relationship between maternal head dystocia and delivery mode was analyzed. The number of maternal cases with vaginal delivery in persistent occipital transverse position, persistent posterior occipital position, high straight position, anterior uneven tilt position, and facial position was 22(41.51%), 18(33.96%), 12(22.64%), 1(1.89%), 0(0%),persistent occipital transverse position, persistent posterior occipital position, high straight position, anterior uneven tilt, The number of maternal cases using cesarean section in dystocia such as face position is 25(32.47%), 31(40.26%),6(7.79%), 8(10.39%), 7(9.09%). Conclusion Through the analysis and study of this paper, it can be concluded that occipital posterior position and occipital transverse position are the main factors causing obstruction of the head of the parturient. If improper treatment will cause serious harm to the mother and infant, choosing the appropriate mode of delivery can significantly reduce the harm of the mother and infant, which is worthy of wide promotion.