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目的对活跃期停滞的95例临床资料进行分析,探讨其发生的原因、产程特点和对母儿的影响。方法选择2007年7月至2010年6月在本院单胎头位分娩被诊断为活跃期停滞的95例产妇为观察组,另选同期住院分娩产程正常的单胎头位初产妇95例为对照组,比较两组产妇的产程、产力、胎方位、胎儿及并发症情况,总结引起活跃期停滞的原因。结果两组产妇潜伏期、产力、新生儿体重、新生儿窒息的发生率及产后出血率比较,差异均有统计学意义(P<0.05)。结论活跃期停滞的原因有潜伏期延长、胎方位异常、官缩乏力等,出现活跃期停滞时及时行内诊检查分析其原因,针对性地给予及时处理,可有效降低剖宫产率及母儿并发症。
Objective To analyze the clinical data of 95 cases with active stagnation and discuss the causes, the characteristics of labor and the impact on maternal and child. Methods From July 2007 to June 2010 in our hospital single fetus was diagnosed active childbirth stagnation of 95 cases of mothers for the observation group, the same period of hospital delivery of normal single-head primipara 95 cases were Control group, comparing the two groups of labor process, labor force, fetus position, fetus and complications, summarizes the causes of active stagnation. Results There were significant differences in latent period, labor force, birth weight, neonatal asphyxia and postpartum hemorrhage between the two groups (P <0.05). Conclusions The reasons for the stagnant period of active phase are prolonged incubation period, abnormal fetal orientation and weakening of officials, etc. When the active period is stagnant, the reason of delayed diagnosis and timely diagnosis and treatment is given, which can effectively reduce the rate of cesarean section and maternal and child complications disease.