102例胎儿持续性枕横位、枕后位产妇护理体会  

Nursing for 102 Cases of Parturients with Fetus'persistent occiput transverse and occiput posterior positions

作　　者：曹小芳[1] 张广兰[1] 王瑞[1] 朱敏丽[1] 王兰云[1] 王伟[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院妇产科,233004

出　　处：《中华全科医学》2010年第4期519-520,共2页Chinese Journal of General Practice

摘　　要：目的探讨胎儿持续性枕横位、枕后位产妇的护理措施。方法对102例胎儿持续性枕横位、枕后位产妇实施"转位三步法"。潜伏期做好产妇的心理护理及有效的健康教育,让产妇尽量放松,避免加强宫缩,为手法旋转做准备;活跃早期让产妇采取变换体位的方法,利用胎儿的重心作用使胎位得以旋转,使转位成功的可能性更大;活跃晚期产妇宫口开大6cm以上,胎头达坐骨棘平面或以下时,予实施手法旋转。结果102例胎儿持续性枕横位枕后位产妇中有88例转位成功并自然分娩,14例转位失败,转位成功率86.3%。结论对胎儿持续性枕横位枕后位产妇实施"转位三步法",能有效提高胎儿持续性枕横位枕后位产妇的自然分娩率,提高产科护理质量。Objective To investigate the nursing intervention on the parturients with Fetus＇persistent occiput transverse and occiput posterior positions.Methods The ＇Three-step Position Altering＇ was employed in 102 cases with Fetus＇persistent occiput transverse and occiput posterior positions.Good psychologial nursing and health education were conducted for the parturients to make them relax as much as possible and avoid any increase in unterine contraction to prepare them for manual transposition.During early active phase,the parturients were asked to alter their positions so as to make use of the fetus＇ center of gravity to facilitate the rotation of the fetus＇ position,thus increasing the success rate of the transposition.When uterine orifice opened more than 6cm and the fetal head rested at the level of ischiadic spine or lower,manual transposition was effected.Results Of the 102 cases of fetus＇ persistent occiput transverse and occiput posterior positions,88 transpositions were successful,14 not,with the success rate of 86.3%.Conclusion The ＂Three-step Position Altering＂ can increase the rate of natural delivering and improve the gynaecological nursing quality in parturients with Fetus＇persistent occiput transverse and occiput posterior positions.

关 键 词：胎儿 枕横位 枕后位 胎儿转位术 护理 

分 类 号：R473.71[医药卫生—护理学] R714.44[医药卫生—临床医学]