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目的:通过分析总结头位难产发生的原因和特点,探讨正确处理头位难产,降低剖宫产率,减少母儿并发症的方法。方法:对聊城市第二人民医院2004年1月~2008年12月5年间709例头位难产病例进行回顾性调查,初步探讨头位难产的因素及处理方式,总结头位难产的发生原因、临床特点、分娩方式及对母儿影响。结果:通过对709例头位难产孕妇早期诊断,对各种异常的胎方位提出合理的处理意见,其中641例难产转化为顺产经阴道分娩,68例采用剖宫产结束分娩。结论:通过对头位难产的孕妇进行早期估计、早期诊断、严密观察,及时采取合理的处理措施,可明确降低围产期头位难产的发病率,对于减少母婴损伤,改善围产儿结局有重要意义。
OBJECTIVE: To analyze the causes and characteristics of head dystocia by analyzing and analyzing the methods of treating head dystocia, reducing the rate of cesarean section and reducing the complications of head and neck. Methods: A retrospective survey of 709 cases of headpart dislocation in the Second People ’s Hospital of Liaocheng from January 2004 to December 2008 was carried out. The factors and treatment of headpart dislocations were discussed. The causes of headpart discomfort were summarized. Clinical characteristics, mode of delivery and the impact on mother and child. Results: Based on the early diagnosis of 709 cases of first trimester dystocia, reasonable advice was given to all kinds of abnormal fetuses. Among them, 641 dystocia were converted to vaginal delivery by birth, and 68 cases were delivered by cesarean section. Conclusion: It is important to reduce the incidence of dystocia in the perinatal period by early estimation, early diagnosis, close observation and timely and reasonable treatment of pregnant women with dystocia significance.