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本文分析我院头位难产924例临床资料,提示胎头方位异常占头位难产总数的70.56%,是发生头位难产的主要原因。产道异常和严重胎头方位异常必须采用剖宫产术结束分娩,本文剖宫产率为25.87%,占同期内剖宫产总数的41.86%。大多数胎头方位异常为枕横位和枕后位,必须进行试产,产前行头盆评分,临产后严密监护和观察以及给予催产素静滴、人工破膜、人工扩张和局部处理宫颈以及徒手旋转异常胎头方位等,以创造阴道分娩条件。本组试产结果88.61%能经阴道自产或手术助产分娩。因此,认为试产在头位难产中是必要的,它可以使难产转化为顺产,对母婴有利。
This analysis of our hospital 924 cases of head dystocia clinical data suggest that fetal head position abnormalities accounted for 70.56% of the total head dystocia, head dystocia is the main reason. Abnormal birth canal and severe fetal head position abnormalities must be cesarean end of delivery, this article cesarean section rate was 25.87%, accounting for 41.86% of the total number of cesarean section over the same period. Most of fetal head position anomalies for the occipital transverse position and occiput posterior position, must be pilot production, prenatal line braces score, intensive monitoring and observation after labor and give intravenous infusion of oxytocin, artificial rupture, artificial expansion and local treatment of the cervix and Rotate abnormal fetal head orientation, etc., in order to create vaginal delivery conditions. 88.61% of the pilot test results in this group can vaginal self-production or surgical midwifery childbirth. Therefore, the trial that trial production is necessary in the dystocia, it can make dystocia into spontaneous, beneficial to both mother and child.