探讨93例初产妇临产后胎头浮动的影响因素及分娩结局  

Influence Factors and Outcome of Delivery in 93 Primiparas at Term with Floating Fetal Head

作　　者：刘敏[1] 李翠芹[1] 金菊[1] 

机构地区：[1]蚌埠医学院第二附属医院妇产科,安徽省蚌埠市233000

出　　处：《中华全科医学》2013年第6期856-857,共2页Chinese Journal of General Practice

摘　　要：目的分析初产妇临产后胎头浮动的影响因素及分娩结局。方法将医院2010年1月-2011年12月足月头位分娩初产妇符合临产后头浮条件病例93例与同期临产后胎头衔接病例93例的临床资料进行回顾性分析。结果两组产妇骨盆异常,胎儿体重方面差异有统计学意义(P值分别<0.01及<0.05)。胎膜早破,产程延长发生率高,剖宫产率明显增加。结论定期产前检查,并尽早作出判断和处理,尽可能减小不良损害,使母婴顺利度过分娩期,确保母婴安全,降低母婴并发症,使母婴危害降至最低。积极进行产程处理,改善分娩结局,警惕临产后胎头浮动,充分试产,密切监护,及早发现难产因素。Objective To analyze the relationship between the influence factors of floating fetal head and the outcome of de- livery in primipara at term. Methods The clinical data ofthe 93 cases of floating fetal head in primiparas at term and 93 eases of engagement of fetal head at term in a primipara from 2010 January to 2011 December in our hospital were reviewed and ana- lyzed. Results The difference in the rate of abnormal pelvis of primiparas and weight of fetuses was statistical significant （ P 〈 0.01 and P 〈 0.05 ,respectively） between the two groups. The incidence of premature rupture of membrane, prolonged labor and cesarean section increased in the primiparas at term with floating fetal head. Conclusion The regular antenatal examinations should be carried out to find early the floating fetal head and factors in relation to the dystocia. The early diagnosis and active treatment of labor process can minimize the adverse damage, reduce complications, ensure primiparas and child safety, and im- prove the outcomes of delivery.

关 键 词：初产妇 胎头浮动 分娩结局 

分 类 号：R714.43[医药卫生—妇产科学] R714.45[医药卫生—临床医学]