坐式分娩在矫正持续性枕横位、枕后位中的应用  

Application of sitting delivery position on correcting persistent occipitotransverse,occipitoposterior position

作　　者：刘红娟[1] 郑丽娟[1] 郑瑛[1] 余慧雯[1] 

机构地区：[1]广东省妇幼保健院产科,广州510045

出　　处：《中国当代医药》2016年第4期91-93,共3页China Modern Medicine

摘　　要：目的探讨坐式分娩在矫正持续性枕横位、枕后位孕妇中的应用效果。方法选取2014年1~12月在本科住院并要求阴道试产且活跃晚期经阴道检查确诊为持续性枕横位、枕后位的120例足月妊娠孕妇作为研究对象,随机分成观察组和对照组,各60例。观察组在第二产程采用坐式分娩,对照组采用传统仰卧位分娩,比较两组的临床效果。结果观察组的经阴道分娩率显著高于对照组,差异有统计学意义（P〈0.05）。观察组的第二产程时间显著短于对照组,产后2 h阴道出血量显著少于对照组,1 min新生儿Apgar评分显著高于对照组,差异有统计学意义（P〈0.05）。结论在持续性枕横位、枕后位孕妇第二产程中采用坐式分娩有利于纠正胎方位,能够减少母婴并发症,提高阴道分娩率。Objective To explore the application effect of sitting delivery position on correcting persistent occipitotransverse,occipitoposterior position. Methods 120 full-term pregnant women definitely diagnosed as persistent occipitotransverse,occipitoposterior position by vaginal examination who were asked for vaginal trial labor in active advanced stage from January 2014 to December 2014 in our department were selected and randomly divided into the observation group and the control group,60 cases in each group.The observation group was given the sitting delivery position in the second stage of labor,the control group was given traditional supine position for delivery.The clinical effect in the two groups was compared. Results The rate of vaginal delivery in the observation group was higher than that in the control group,with significant difference（P〈0.05）.The second stage of labor time in the observation group was shorter than that in the control group,with significant difference（P 0.05）.Postpartum 2 h vaginal bleeding volume in the observation group was less than that in the control group,the Apgar score of newborns at 1 min in the observation group was higher than that of the control group,with significant difference（P〈0.05）. Conclusion Adoption of sitting delivery position is beneficial to correct position of foetus,which can reduce infant mom complication,increase vaginal delivery rate for persistent occipitotransverse,occipitoposterior position pregnant women in the second stage of labor.

关 键 词：坐式分娩 第二产程 持续性枕横位、枕后位 

分 类 号：R714.441[医药卫生—妇产科学]