徒手旋转胎头术在头位难产产妇第二产程分娩中的协助应用观察  

Observation on the assisted application of freehand rotation of fetal head in the second stage of labor of parturient women with cephalic dystocia

作　　者：姜芹[1] Jiang Qin(Delivery Room,Saint An Hospital,Lianyungang Jiangsu,222100,China)

机构地区：[1]连云港圣安医院产房,江苏连云港222100

出　　处：《中外女性健康研究》2024年第6期18-20,40,共4页Women＇s Health Research

摘　　要：目的:分析徒手旋转胎头术在头位难产产妇第二产程分娩中的协助应用效果。方法:回顾性分析2020年1月至2023年12月于本院分娩的56例头位难产产妇资料,依据第二产程是否使用徒手旋转胎头术分为两组,各28例。对照组采取传统第二产程分娩助产护理,观察组采取第二产程徒手旋转胎头术,统计产程总时间、新生儿神经行为评分、分娩结局并进行对比。结果:观察组的第二分娩产程明显短于对照组,观察组产程总时间明显短于对照组(P<0.05),第一和第三产程两组无明显统计差异(P>0.05);观察组新生儿神经行为各项评分均高于对照组(P<0.05);观察组阴道裂伤、新生儿窒息及产后出血率均低于对照组(P<0.05)。结论:第二产程徒手旋转胎头术的运用能够改善头位难产产妇分娩结局、促进新生儿神经行为发育、缩短产程总时间,具有一定的推广使用价值。Objective:To analyze the effect of manual rotation of fetal head in the second stage of labor of women with cephalic dystocia Methods:Data of 56 cases of cephalic dystocia who delivered in our hospital from January 2020 to December 2023 were retrospectively analyzed,and 28 cases in each group were divided into two groups according to whether the second stage of labor was performed by hands-free rotation of fetal head.The control group received traditional obstetric care during the second stage of labor,and the observation group received hands-free rotation of the fetal head during the second stage of labor.The total labor time,neonatal neurobehavioral score and delivery outcome were analyzed and compared.Results:The second stage of labor in the observation group was significantly shorter than that in the control group(P<0.05),and the total time of labor in the observation group was significantly shorter than that in the control group(P>0.05).Neurobehavioral scores in observation group were higher than those in control group(P<0.05).The rates of vaginal laceration,neonatal asphyxia and postpartum hemorrhage in the observation group were lower than those in the control group(P<0.05).Conclusion:The use of hand rotation fetal head surgery in the second stage of labor can improve the delivery outcome of women with head position dystocia,promote neonatal neurobehavioral development,and shorten the total labor time,which has certain promotional value.

关 键 词：头位难产产妇 第二产程 徒手旋转胎头术 分娩结局 新生儿神经行为 产程总时间 

分 类 号：R473.71[医药卫生—护理学]