论文部分内容阅读
目的探讨胎头位置异常产妇在不同体位下分娩对第二产程的影响。方法将100例第二产程胎头位置异常产妇随机分为观察组和对照组,各50例。观察组采用McRobert体位进行徒手旋转,即将产妇的髋部屈曲,使大腿充分压向腹部有宫缩时进行胎头旋转;对照组采用膀胱截石位进行徒手旋转。结果两组分娩方式、徒手旋转胎头成功率及阴道自然分娩第二产程时间比较,差异有统计学意义(P<0.05,P<0.01)。结论第二产程采取McRobert体位对胎头位置异常产妇进行徒手旋转能有效提高胎头旋转成功率,缩短第二产程,提高阴道自然分娩率,降低剖宫产率及胎儿宫内窘迫和新生儿窒息发生率。
Objective To investigate the effect of abnormal labor on the second stage of labor during different birth positions. Methods 100 cases of second stage of labor abnormal fetal head position were randomly divided into observation group and control group, each 50 cases. The observation group using McRobert position for freehand rotation, about the maternal hip flexion, so that the full compression of the thigh to the abdomen contractions fetal rotation; control group using the bladder lithotomy position freehand rotation. Results There were significant differences in the delivery mode, the success rate of hand-rotating fetal head and the second stage of spontaneous vaginal delivery between the two groups (P <0.05, P <0.01). Conclusion The second stage of labor with McRobert position on fetal head position abnormal maternal free rotation can effectively improve the success rate of fetal head rotation, shortening the second stage of labor, improve the vaginal natural delivery rate, reduce cesarean section rate and fetal distress and neonatal asphyxia Occurrence rate.