初产妇头位难产的临床处理分析  

Treatment and Clinical Analysis of Dystocia in Primipara

作　　者：张盛蕾 ZHANG Shenglei(Liaoning Yingkou Economic and Technological Development Zone Central Hospital,Yingkou Sixth People's Hospital,Yingkou 115007,China)

机构地区：[1]辽宁省营口经济技术开发区中心医院(营口市第六人民医院),辽宁营口115007

出　　处：《中国医药指南》2020年第35期121-122,共2页Guide of China Medicine

摘　　要：目的对初产妇头位难产的情况进行处理的临床有效处理方案进行分析,以便为临床干预工作提供科学的依据。方法选择2017年1月至2019年4月来我院进行分娩的头位难产的186例初产妇作为观察组,选择同期来我院进行分娩的头位难产的另外186例初产妇作为对照组。对照组产妇进行常规分娩,观察组在对照组基础上配合相关的手法进行助产处理,评价两组初产妇和新生儿的妊娠结局。结果干预后,观察组的自然分娩率为95.16%,对照组为77.96%(P<0.05);观察组剖宫产发生率为4.84%,对照组为22.04%(P<0.05);观察组不良妊娠结局发生率为6.45%,对照组为17.74%(P<0.05);观察组产后出血率为9.14%,对照组为20.97%(P<0.05)。结论对头位难产的初产妇在常规分娩的基础之上经助产士配合相关的手法进行助产处理,能够有效促进产妇分娩效率的提高,提升自然分娩率,对改善母婴结局、降低产后出血相关状况具有重要的意义。Objective To analyze the clinically effective treatment plan for the treatment of the dystocia in the head position of the primipara in order to provide a scientific basis for clinical intervention.Methods The 186 primiparas who came to our hospital for delivery from January 2017 to April 2019 were selected as the observation group,and the other 186 primiparas who came to our hospital for delivery during the same period were selected as the control group.The mothers in the control group were given routine delivery,and the observation group was assisted with related techniques on the basis of the control group to evaluate the pregnancy outcome of the primiparas and newborns in the two groups.Results After the intervention,the natural delivery rate of the observation group was 95.16%and that of the control group was 77.96%(P<0.05);the incidence of cesarean section in the observation group was 4.84%,and the control group was 22.04%(P<0.05);the incidence of adverse pregnancy outcomes in the observation group was 6.45%,and the control group was 17.74%(P<0.05);the postpartum hemorrhage rate in the observation group was 9.14%,and the control group was 20.97%(P<0.05).Conclusion For primiparas with head dystocia on the basis of routine delivery,the midwife cooperates with related techniques to perform delivery assistance,which can effectively promote the improvement of maternal delivery efficiency,increase the natural delivery rate,and improve maternal and infant outcomes and reduce postpartum hemorrhage related conditions.

关 键 词：分娩监护 初产妇 头位难产 手法助产 妊娠结局 

分 类 号：R715.7[医药卫生—妇产科学]