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目的 :分析产妇顺产转剖腹产的原因,根据临床结局提出相应对策。方法 :随机选取2013年1月~2015年6月之间于我院住院分娩且顺产转剖腹产的产妇200例,回顾性分析其临床资料,总结顺产失败原因与围术期发生的并发症情况。结果 :出现明确剖宫产指征(包括胎儿窘迫、软产道异常、骨产道异常等)的产妇占48.0%,无明显剖宫产手术指征但出现不利于顺产的因素者(无法耐受疼痛、分娩逾期、产程停滞或延长)占45.0%,医生过度诊断症状者占7.0%;部分产妇围术期发生术后感染(2.0%)、产后大出血(7.0%)等并发症,最终均顺利生产,新生儿阿氏评分在8分以上,无严重并发症。结论:临床医生应重视孕期管理和社会因素,把握好剖宫产指征,及时发现并合理处理围产期异常,使顺产转剖宫产率降低,保障母婴安全。
Objective: To analyze the causes of maternal cesarean section by cesarean section and to put forward corresponding countermeasures according to the clinical outcome. Methods: A total of 200 maternal women were hospitalized in our hospital from January 2013 to June 2015 and delivered by cesarean section. The clinical data were retrospectively analyzed, and the causes of perinatal failure and complications were summarized. Results: 48.0% of the women showed definite cesarean indications (including fetal distress, abnormalities of the soft birth canal, abnormalities of the abdomen, etc.), and those who had no indications of caesarean section but were unfavorable in the cesarean section (were unable to tolerate the pain , Overdue childbirth, stagnant or prolonged labor) accounted for 7.0% of all cases, while those who overdiagnosed symptoms accounted for 7.0%. Some postoperative complications such as postoperative infection (2.0%) and postpartum hemorrhage (7.0%) occurred during the perioperative period. Newborns, Ashworth score of 8 points or more, no serious complications. Conclusion: Clinicians should pay attention to the management of pregnancy and social factors, grasp the indications for cesarean section, find out and manage the perinatal abnormalities in time, reduce the cesarean section rate from cesarean section to cesarean section, and ensure the safety of mother and infant.