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第二产程又称胎儿娩出期,指从宫口开全到胎儿娩出。处理得当可加速产程进展、减轻产妇痛苦,避免或减轻会阴裂伤,减少出血及感染的机会,使母儿安全地渡过分娩。通过132例分娩助产实践现浅谈体会如下。 1 第二产程易出现以下几个问题:①胎儿宫内窘迫,第二产程宫缩过强胎盘循环受阴脐带受压因素导致胎心改交,不及时处理可导致新生儿童息、死产等严重后果。②第二产程延长或停滞,对母儿均不利,产妇的产道受胎先露压迫过久,可因局部缺血坏死于产后发生生殖道瘘,如头盆不称未及时发现,加之宫缩过强过频,可导致子宫破裂,胎儿也易出血的机会增加,影响产妇恢复。
The second stage of labor, also known as fetal delivery period, refers to all from the cervix to the fetus delivered. Proper handling can speed up the progress of labor, reduce the pain of maternal, avoid or reduce perineal laceration, reduce bleeding and infection opportunities, so that mother and child safely through childbirth. Through 132 cases of childbirth midwifery practice are as follows. 1 The second stage of labor prone to the following problems: ① fetal distress, the second stage of contractions too strong placental circulation caused by negative umbilical cord compression factors lead to change to the fetal heart, not timely treatment can lead to neonatal mortality, stillbirth, etc. Serious consequences. ② prolonged or stagnant second stage of labor, both mother and child are unfavorable, maternal birth of the fetus exposed too long, may be due to ischemic necrosis in postpartum genital tract fistula, such as the first basin is not reported in time, and contractions too Strong frequency, can lead to rupture of the uterus, the fetus is also prone to bleeding increased, affecting maternal recovery.