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为探索高原的影响,仅就西宁地区正常妊娠单胎头位足月产婴宫内窘迫253例进行分析,发生率为12.31%,若加上妊娠合并症、过期妊娠等,发生率为11.43%,均高于内地。作者认为高原产妇二产程不仅应积极处理,就其传统时间概念的看法应有所缩短为宜。结合高原特点为尽早结束窘迫儿兮娩,适当放宽剖宫产的适应症而尽量减少产钳助产的应用是必要的。
To explore the impact of the plateau, only 253 cases of single-head fetus-term full-term infantile fetal distress in Xining area were analyzed. The incidence rate was 12.31%. Incidence of pregnancy complications and overdue pregnancy was 11.43% , Are higher than the Mainland. The author believes that high altitude maternal second stage of labor should not only be actively managed, the concept of traditional time should be shortened as appropriate. Combined with the characteristics of the plateau as early as possible to end distress childbirth, appropriate relaxation of cesarean indications and minimize the use of forceps midwifery is necessary.