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头位难产越来越被产科临床医师所重视。头位难产可达分娩总数的7～21%。现将我院1985～1986年间25例头位难产患者作一回顾性总结。一、临床资料1.头位难产的临床表现及对胎儿的影响:25例头位难产均有产程延长。其中潜伏期延长5例(临床至宫颈扩张到活跃期,时间超过15小时以上),活跃期延长17例,第二产程延长3例。另外,早破水9例,尿潴留7例,宫颈水肿8例,出现病理收缩环1例。娩出胎儿25个,其中宫内窘迫8例,出生时青紫窒息5例,产时死亡2例。2.头位难产的分类及分娩方式:25例头位难产中,枕横位4例,面先露1例,枕后位2例,枕前位18例(其中巨大儿2例).剖宫
Head dystocia more and more obstetric clinicians attention. Head bit delivery up to 7-21% of the total number of deliveries. Now in our hospital from 1985 to 1986, 25 cases of dystocia patients with a retrospective summary. First, the clinical data 1. Head dystocia clinical manifestations and the impact on the fetus: 25 cases of head dystocia have labor to extend. Including the extension of 5 cases (clinical to cervical dilatation to the active phase, more than 15 hours), prolong the active period in 17 cases, prolonged in the second stage of labor in 3 cases. In addition, 9 cases of premature rupture of water, urinary retention in 7 cases, 8 cases of cervical edema, pathological contraction ring in 1 case. Twenty-five fetuses were delivered, of which 8 were intrauterine distress, 5 were cyanosis at birth, and 2 were fatal during labor. 2 head dystocia classification and mode of delivery: 25 cases of head dystocia, occipital transverse position in 4 cases, surface first exposed in 1 case, occiput posterior position in 2 cases, occipital anterior position in 18 cases (2 cases of macrosomia). palace