徒手纠正胎头位置异常110例临床观察  

Clinical observation of manual correction of malposition of fetal head

作　　者：孔令君[1] 

机构地区：[1]菏泽市立医院,山东菏泽274031

出　　处：《齐鲁护理杂志》2003年第7期488-490,共3页Journal of Qilu Nursing

摘　　要：目的 :观察分娩活跃期徒手纠正胎头位置异常的临床效果。方法 :选择产程进入活跃期 110例 ,经加强产力 ,改变母体体位等处理 ,胎方位仍不能自然旋转为枕前位 ,产程阻滞的持续枕后位、枕横位 ,施行经阴道徒手旋转儿头 ,辅以经孕妇腹部推儿背为脊前方位联合手法。结果 :徒手纠正胎头位置异常成功 98例 ,失败 12例 ,其中持续性枕后位 11例 ,直后位 1例 ,总成功率为 89 0 9%。结论 :本法可矫正持续性枕横位、枕后位为枕前位 ,改善胎头俯屈 。Objective:To observe the effects on manual correction of malposition of fetal head during active stage of labour.Method:110 cases of persistent occipital posterior position and persistent occipital transverse position that reinforced powers and changing mother bodys position,which do not change fetal position into OA,were changed into OA with manual manipulation of fetal head.Result:Among 110 cases,98 cases succeded,the rate of success is 89 09%.During stage of labor,the manual rotation of malposition of fetal head that is a effective method which decreasing incidence of abnormal labor.Conclusion:The method can correct occipito transvers and occipito posterior position to OA and improve fetal head flexion as well as reduce the rate of abnormal labor.

关 键 词：胎头位置异常 临床观察 外部头位倒转式 持续性枕后位 持续性枕横位 病理分娩 

分 类 号：R714.44[医药卫生—妇产科学]