摘要
目的探究分析产妇在正常分娩中出现肩难产的临床特征及治疗方法。方法选取我院2022年1月至2023年1月这一年内正常分娩中出现肩难产的产妇90例作为研究组,另选取顺利分娩的90例产妇作为参照组。通过对比两组产妇的产程时长、产后出血数量及软产道损伤,分析正常分娩中产妇肩难产的临床特征及治疗方法。结果导致产妇出现肩难产的原因有:巨大儿(55.56%)、过期妊娠(20.00%)、盆骨狭窄(21.11%)、妊娠期糖尿病(14.44%);研究组产妇的第一产程时长、第二产程时长(9.62±1.43)、(1.32±0.54)均长于参照组(7.01±1.25)、(0.81±0.16),(P<0.05);研究组产妇的产后出血量(551.24±69.75)多于参照组(253.62±41.58),软产道损伤率(72.22%)高于参照组(13.33%),差异有统计学意义(P<0.05)。结论巨大儿、过期妊娠、盆骨狭窄及妊娠期糖尿病等都是导致正常分娩产妇出现肩难产的原因,肩难产对产妇和胎儿的危害较大,因此临床要做好密切监测,减少其出现率,助产人员还要掌握专业的应对技术,以便对肩难产产妇进行及时处理,最大限度地保障母婴安全。
Objective To explore and analyze the clinical characteristics and treatment methods of shoulder dystocia in parturients during normal delivery.Method 90 parturients who experienced shoulder dystocia during normal childbirth in our hospital from January 2022 to January 2023 were selected as the study group,and another 90 parturients who delivered smoothly were selected as the reference group.By comparing the duration of labor,number of postpartum bleeding,and soft birth canal injuries between two groups of parturients,analyze the clinical characteristics and treatment methods of shoulder dystocia in normal childbirth.Results The causes of shoulder dystocia were macrosomia(55.56%),delayed pregnancy(20.00%),pelvic stenosis(21.11%),and gestational diabetes(14.44%);The duration of the first and second stages of labor in the study group(9.62±1.43)and(1.32±0.54)were longer than those in the control group(7.01±1.25)and(0.81±0.16),respectively(P<0.05);The postpartum bleeding volume of the study group(551.24±69.75)was higher than that of the control group(253.62±41.58),and the soft birth canal injury rate(72.22%)was higher than that of the control group(13.33%),with statistical significance(P<0.05).Conclusion Macrosoma,overdue pregnancy,pelvic stenosis and diabetes during pregnancy are all the causes of shoulder dystocia in normal delivery women.Shoulder dystocia is harmful to women and fetuses.Therefore,close monitoring should be carried out in clinical practice to reduce its occurrence rate.Midwives should also master professional coping skills,so as to timely deal with women with shoulder dystocia and ensure the safety of mother and baby to the greatest extent.
作者
王雅
Wang ya(Obstetrics and Gynecology Department of Tanghe County Maternal and Child Health Hospital,Tanghe 473400,Henan Province,China)
出处
《罕少疾病杂志》
2024年第4期82-83,共2页
Journal of Rare and Uncommon Diseases
关键词
产妇
正常分娩
肩难产
临床特征
治疗方法
Maternal Women
Normal Delivery
Shoulder Dystocia
Clinical Features
Therapeutic Method
