产程中运用膝胸卧位纠正枕后位的效果观察

[摘要] Abstract：Objective To evaluate the application of knee-chest position to correct occiput posterior position in the stages of labor. Methods A total of 160 expectant women with persistent occiput posterior position were divided into the observation group and the control group, with 80 cases in each group. The control group received conventional predelivery care, while the observation group adopted open knee-chest position to correct the position. The vaginal delivery rate, duration of labor and neonatal asphyxia were observed and compared between two groups. Results The vaginal delivery rate was 92.5%(74/80)in the observation group and was 81.5%(65/80)in the control group, with a significant difference(P<0.05). The first stage and the second stage of labor were shorter in the observation group than those in the control group(P<0.01). There was 10 cases and 2 cases of mild neonatal asphyxia in the control group and observation group respectively, with a significant difference(P<0.01). Conclusion Application of chest-knee position is an effective method to correct persistent occiput posterior position. It can shorten the course of labor and reduce the rate of cesarean section.

[学科分类] 护理学

[关键词] 膝胸卧位;枕后位;阴道分娩;剖宫产;产程时间;新生儿窒息