摘要
胎头位置异常是造成难产的重要原因之一。持续性枕后位(POPP),是产程中最常见胎头位置异常,并且对其诊断极其具有挑战性,该异常与孕妇及新生儿相关疾病发病率有关。目前,用于POPP孕妇产程旋转胎头的方法包括3种:徒手旋转、器械助产旋转和孕妇体位干预。徒手和器械助产旋转,均可能对母儿产生潜在危害,而孕妇体位干预作为一种无创方法,成为目前国内外产科领域的研究热点。目前临床较常用的POPP孕妇产程体位干预措施,主要包括手膝卧位、侧俯卧位(LAD)及系列性体位干预。笔者拟对POPP的定义及其发生率、高危因素、对母儿的危害及其产程处理的最新研究进展进行阐述。
Malpresentation is one of the important causes of dystocia.Persistent occiput posterior position(POPP)is the most common malpresentation of the fetal head during labor and its diagnosis remains challenging.POPP is associated with increased rates of maternal and newborn morbidity.There are currently three methods of rotating fetal heads for POPP pregnant women during labor:manual rotation,instrumental rotation(vacuum extraction or obstetric forceps)and maternal position intervention.Both manual and instrumental rotation have potential harm to pregnant women and their newborns.As a non-invasive method,maternal position intervention has become a hot topic in obstetrics for domestic and foreign scholars.At present,the commonly used postural interventions of pregnant women with POPP mainly include:hands and knees decubitus position,lateral asymmetric decubitus(LAD),serial position intervention.This article intends to elaborate on the definition of POPP and its incidence,high risk factors,harm to pregnant women and their newborns and the latest research progress in management of labor.
作者
孙宁
徐爱群
Sun Ning;Xu Aiqun(Department of Obstetrics,Yantai Affiliated Hospital of Binzhou Medical University,Binzhou 256600,Shandong Province,China)
出处
《中华妇幼临床医学杂志（电子版）》
CAS
2020年第3期266-271,共6页
Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)
基金
国家自然科学基金资助项目(81702029)。
关键词
体位
母体
持续性枕后位
产程
第一
倒转术
胎位
产式
产妇
Posture
maternal
Persistent occiput posterior position
Labor stage
first
Version
fetal
Labor presentation
Puerperant
