初产妇临产胎头浮动与难产临床分析  

Clinical Analysis of Primipara Parturient Fetal Head Floating and Dystocia

作　　者：任英囡 

机构地区：[1]黑龙江省青冈县妇幼保健院,151600

出　　处：《中国卫生标准管理》2015年第8期101-102,共2页China Health Standard Management

摘　　要：目的分析并研究初产妇临产时出现胎头浮动的原因以及其和难产的关系,总结有效的处理方法。方法选取我院在2012年3月~2014年3月接收的125例临产时胎头未衔接（胎头浮动）的初产妇为观察组,选取同期125例临产时胎头已入盆的初产妇作为对照组。对两组产妇的骨盆狭窄、巨大儿、胎位异常、难产等发生率进行统计学分析。结果观察组出现骨盆狭窄、巨大儿、胎位异常、难产等情况的概率均高于对照组,两组相比,差异显著,P〈0.05,具有统计学意义。结论造成胎儿胎头浮动的最主要原因是头盆不称,这较为容易造成难产的发生,所以需要对胎心的变化进行密切的监视,采用合理的助产技术帮助产妇进行分娩,如果在试产过程中出现意外问题等,需要考虑采取剖宫产的方式来保证母婴的安全。ObjectiveTo analysis and study on primipara labor causes of fetal head floating and their relationship and dystocia,summarize the effective processing method.Methods125 cases of parturient in our hospital received when the fetal head without cohesion（fetal head floating）primiparas were selected as observation group,125 cases of parturient fetal head into the basin nuliparous women as control group.Results In the observation group,the probability of the occurrence of narrow pelvis,macrosomia,abnormal fetal position,dystocia situation were higher than those in the control group, the two groups were compared,the difference was significant,P＆lt;0.05,with statistical significance.Conclusion The main reason resulting in fetal head floating is cephalopelvic disproportion,this is easy to cause the occurrence of dystocia,so the need for changes to the fetal heart were closely monitored,using reasonable midwifery help mothers for delivery,if unexpected problems appeared in the trial production process,need to consider to take the way of cesarean section to ensure the safety of mother and child.

关 键 词：初产妇 临产 胎头浮动 

分 类 号：R714[医药卫生—妇产科学]