初产妇头位难产的处理及临床分析

[摘要] Abstract：ABSTRACT: Objective To analyze the clinical management on cephalic presentation dystocia in primipara. Methods Clinical data of 36 primipara with cephalic presentation dystocia as observation group and another 36 primipara with normal delivery as controls were retrospectively analyzed . Results Out of 36 patients in observation group, there were 30 cases(83.33%) with protracted descent, 18 cases(50.00%) with premature rupture of membrane, 20 cases(55.56%) with cervical edema, 7 cases(19.44%) with prolonged second stage and 24 cases(66.67%) with delitescence delay by uterine inertia. Out of 36 patients in control group, there were 11 cases(30.56%) with protracted descent, 2 case(5.56%) with premature rupture of membrane, 2 cases (5.56%)with cervical edema, 1 cases (2.78%)with prolonged second stage and 6 cases (16.67%)with delitescence delay by uterine inertia. There were 17 patients (47.22%) with caesarean section and 19 patients (52.78%) with vaginal delivery in the observation group. Conclusion Correcting abnormal fetal head position is important for reducing risk of section cesarean and complication.

[学科分类] 护理学

[关键词] 初产妇;头位难产;宫缩乏力