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目的:探讨头位难产的临床处理体会。方法:对产科进行分娩的134例发生头位难产的产妇的临床资料进行统计分析。结果:导致头位难产的最主要原因为持续性枕后位、枕横位,其次为宫缩乏力,产道异常,严重胎头位置异常等,其中97例产妇选择剖宫产,37例产妇选择阴道分娩,100例产妇由于胎头位置的异常造成难产,其中76例产妇选择剖宫产,24例产妇选择阴道分娩。结论:产前充分评后胎儿大小、产程中严密观察,准确判断产程异常,及时处理是降低剖宫产及减少并发症的关键。
Objective: To explore the clinical treatment of head dystocia experience. Methods: The clinical data of 134 cases of headpartum dystocia who had obstetric delivery were statistically analyzed. Results: The most common causes of head dystocia were persistent occiput posterior position, occipital transverse position, followed by uterine atony, abnormal birth canal and abnormal fetal head position, among which 97 maternal women chose cesarean section and 37 maternal women Vaginal delivery, 100 cases of maternal labor as a result of abnormal fetal head position, of which 76 maternal choose cesarean section, 24 maternal choose vaginal delivery. Conclusion: The full prenatal fetal size, strict observation of labor process, accurate diagnosis of labor abnormalities, timely treatment is to reduce cesarean section and reduce complications.