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目的观察产程进入活跃期后期行徒手矫正枕后位的临床效果。方法选择妊娠37～41周,临产宫口开3cm后经阴道检查证实为枕后位的产妇100例,随机分为2组,观察组50例,对照组50例。2组均保证有效宫缩,其中观察组加用经阴道徒手旋转儿头,辅以经孕妇腹部推儿背为脊前方位的矫正手法,比较2组分娩结果。结果观察组有42例经阴道分娩,占84%,且无胎儿头皮损伤及颅内出血,无胎盘早剥,脐带脱垂及软产道损伤等并发症;对照组仅11例经阴道分娩,占22%,差异有非常显著性﹙P<0.01﹚。结论产程活跃后期施行经阴道徒手旋转胎头术纠正枕后位可降低剖宫产率。具有成功率高,安全,无不良反应,容易掌握等优点。
Objective To observe the clinical effect of labor-induced correction of posterior position of the pillow during the late stage of active labor. Methods 100 cases of maternal women who were confirmed as posterior occipital position by vaginal examination after 37-41 weeks of gestation and 3 cm of labor cervix were randomly divided into 2 groups: observation group (50 cases) and control group (50 cases). 2 groups were to ensure effective contractions, including the observation group with vaginal rotation of bare hands, supplemented by the abdomen of pregnant women push the back to the anterior ridge correction approach, the results of two groups of delivery. Results 42 cases of vaginal delivery in observation group, accounting for 84%, without fetal scalp injury and intracranial hemorrhage, no placental abruption, umbilical cord prolapse and other complications of soft birth canal; control group, only 11 cases of vaginal delivery, accounting for 22 %, The difference was significant (P <0.01). CONCLUSION: Transvaginal rotation of the fetal head during the late stage of labor to correct the posterior occipital position may reduce the rate of cesarean section. Has a high success rate, safety, no adverse reactions, easy to master and so on.