初产妇临产时胎头高浮与难产的相关因素关系  

Related factors between primigravida with high float fetal head and dystocia

作　　者：许淑兰 

机构地区：[1]江苏省苏州市工业园区娄葑医院妇产科,江苏苏州215000

出　　处：《转化医学电子杂志》2014年第6期50-51,共2页E-Journal of Translational Medicine

摘　　要：目的：总结分析初产妇临产时胎头高浮与难产的相关因素．方法：选择2013-01～12我院妇产科收治的110例临产时胎头浮动产妇（观察组）和110例胎头正常产妇（对照组）为研究对象，比较分析两组产妇分娩经过、分娩方式、分娩期并发症、新生儿预后的差异．结果：观察组胎方位异常比例40．01％、脐带因素比例20．00％、巨大儿比例11．82％以及骨盆异常发生率14．55％明显高于对照组，差异具有统计学意义（P＜0．01）；观察组潜伏期延长比例10．91％、活跃期延长比例12．73％、第二产程延长比例9．09％明显高于对照组，差异具有统计学意义（P＜0．01）；观察组剖宫产率51．82％明显高于对照组13．64％，差异具有统计学意义（P＜0．01）．结论：临产时胎头浮动是难产信号之一，在试产过程中要严密观察，选择合适的分娩方式，保证母婴生命安全．AIM：To investigate related factors between primigravida with high float fetal head and dystocia.METHODS：1 10 cases of patients with high float fetal head in our hospital from January 2013 to December 2013 were selected as observation group and 110 cases of normal maternal fetal head were selected as control group.The delivery process,mode of delivery ,birth complications and neonatal outcomes of two groups were analyzed. RESULTS：The abnormal fetal position （40.01%）,umbilical cord factor （20.00%）,great children （11 .82%）,incidence of pelvic abnormalities （14.55%）of observation group were significantly higher than that of control group （P 〈0.05）.The latency proportion （10.91% ）, the proportion of active extension （12.73%）, extension proportion of second stage of labor （9.09%）of observation group were significantly higher than that of control group （P〈0.01）.The cesarean section rate of observation group （5 1 .82%）was significantly higher than that of the control group （13.64%）（P〈0.01 ）.CONCLUSION：Floating fetal is one of the signal of dystocia ,the pilot production process should be closely observed,select the appropriate mode of delivery and ensure the safety of mother and child.

关 键 词：初产妇 胎头浮动 难产 相关因素 

分 类 号：R714.44[医药卫生—妇产科学]