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头位难产173例临床资料,分析我院产科胎方位异常占头位难产总数的70.52%,为头位难产的主要原因,常因产道异常造成,需要采用剖宫产术结束分娩。本组剖宫产率37.57%占同期内剖宫产总数的54.37%,胎方位异常多见于枕横位和枕后位,试产时要严密监护和观察,必要时给催产素静滴、人工破膜、人工扩张宫颈以及徒手旋转胎头方位、创造阴道分娩条件。本组试产结果62.43%能经阴道自产或手术阴道助产分娩。因此我们认为试产在头位难产中是必要的。它可以使难产转化为顺产,对母婴均有利,可以降低当前不断上升的剖宫产率。
The first bit of refractory labor in 173 cases of clinical data, analysis of hospital gynecological fetal position abnormalities accounting for 70.52% of the total number of headaches, the main cause of head dystocia, often caused by abnormal birth canal, the need to use cesarean delivery end of childbirth. Cesarean section rate of 37.57% in this group accounted for 54.37% of the total number of cesarean section over the same period, anomalous fetal position more common in the occipital transverse position and occiput posterior, trial production should be closely monitored and observed, if necessary, intravenous oxytocin, artificial Rupture of membranes, artificial expansion of the cervix and hand rotation of fetal head position, to create vaginal delivery conditions. The pilot test results of this group 62.43% vaginal delivery or vaginal midwifery childbirth. Therefore, we believe that pilot production in the first bit of labor is necessary. It can make dystocia into spontaneous delivery, both mother and child are beneficial, can reduce the current rising cesarean section rate.