头位难产特点及分娩方式选择附252例临床分析  

Clinical analysis on characteristics and delivery modes of cephalic presentation dystocia in 252 cases

作　　者：王新红[1] 彭久君[1] 

机构地区：[1]南京医科大学常州妇幼保健院,江苏常州213000

出　　处：《中国妇幼保健》2010年第22期3095-3096,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨头位难产的临床特点及分娩方式。方法:采用回顾性分析方法对该院住院分娩发生头位难产的孕妇252例与相同例数同期头位顺产的孕妇临床资料进行分析,比较两组产程情况,分娩方式,母儿结局。结果:两组头位分娩评分、潜伏期、第一产程、第二产程及总产程时间比较,差异有统计学意义(P<0.05)。头位难产组剖宫产率,新生儿窒息率,胎儿窘迫发生等明显高于头位顺产组。结论:头位难产导致母婴并发症增加,及时处理并选择最佳分娩方式可减少母婴并发症。Objective：To explore the clinical characteristics and delivery modes of cephalic presentation dystocia.Methods：The clinical data of 252 pregnant women of cephalic presentation dystocia and 252 pregnant women of cephalic spontaneous delivery were analyzed by retrospective analysis,the stages of labor,delivery modes,outcomes of mothers and infants in the two groups were compared.Results：There was significant difference in score of cephalic delivery,times of latent period,first stage of labor,second stage of labor and total labor between the two groups （P〈0.05）.The rates of cesarean section,neonatal asphyxia and fetal distress in cephalic presentation dystocia group were significantly higher than those in cephalic spontaneous delivery group.Conclusion：Cephalic presentation dystocia increases maternal and fetal complications.Timely management and choosing the best mode of delivery can reduce maternal and fetal complications.

关 键 词：头位 难产 分娩 围生期结局 

分 类 号：R714.4[医药卫生—妇产科学]