摘要
目的 探讨产程中改变产妇的体位以矫正胎方位的临床效果。方法 选择 2 0 0 1年 3月至 2 0 0 2年 2月期间 ,潜伏期B超检查判断为枕后位的初产妇 2 0 0例 ,随机分为两组 ,每组 10 0例。观察组在产程中指导产妇取侧俯卧位纠正胎方位 ,并与对照组比较。结果 观察组有 91例 ( 91% )胎儿从枕后位转至枕前位 ,88例经阴道分娩 ,剖宫产 12例 ( 12 % )。对照组经阴道分娩 5 6例 ( 5 6% ) ,剖宫产 44例 ( 4 4% ) ,两组比较 ,差异有显著性 (P <0 .0 1)。结论 在产程中指导产妇取侧俯卧位能有效地矫正胎头枕后位 ,是降低头位难产发生的一项措施。
Objective To investigate the effect on correction of ocicpiti-posterior (op) presentation by haning maternal posture during labor.Methods A prostective study was conducted in 100 pregnant women from March 2001 to February 2002.Women in labor were instrueted to take the lateral posture so that the resultent may change the fetal position from occipiti-posterior into occipiti-anterior (OA) presentantion another 100 women were selected as controls.Results In the study group,91 women (91%) have change the fetal position from op into OA and 88 women delivered vaginally and 12 (12%) received sesarean section.In the control group,only 54 women (54%) delivered vaginally,and 44(44%) had cesarean section.A significant difference was noted (p<0.01).Conclusions It is and effectiove methed for the mother to take the lateral posture on the same side of the fetal spine for correcting the OP position.The incidence of dystocia may be reduced as well as the cesarean section rate.
出处
《海南医学》
CAS
2003年第9期28-30,共3页
Hainan Medical Journal
