胎儿体重对持续性枕后位产程特征和分娩结局影响的分析
张喜红
【期刊名称】《实用妇产科杂志》 【年(卷),期】2012(028)007
【摘要】目的:探讨胎儿体重对持续性枕后位产程特征和分娩结局的影响.方法:对2005年12月至2009年12月在本院产科住院分娩228例持续性枕后位产妇的临床资料进行回顾性分析,根据新生儿出生体重分为对照组112例(胎儿体重≥2500 g且＜3500 g)和研究组116例(胎儿体重≥3500 g且＜4250 g).并将两组产程特征、母儿结局进行分析比较.结果:两组产妇产程异常(宫口扩张延缓、停滞,胎头下降延缓、停滞)发生率、临床干预(体位矫正、手转胎头)成功率、剖宫产率、母儿并发症(产后出血、产褥病率、胎儿窘迫、新生儿窒息)发生率差异均有统计学意义(P＜0.05).结论:持续性枕后位产程处理中充分考虑胎儿的体重因素,对于胎儿估计体重≥3500 g的枕后位病例应积极临床干预,干预失败应放宽手术指征,以降低母儿并发症发生率.%Objective:To investigate the effect of fetal weight on clinical characteristics and delivery outcomes on persistent occiput posterior position . Methods:228 cases of persistent occiput posterior position from Dec. 2005 to Dec. 2009 in Zhengzhou People's Hospital were analyzed retrospectively. According to the birth weight , these patients were divided into control group (112 cases, 2500 g ≤ birth weight ≤ 3500 g) and study Group (116 cases, 3500 g ≤birth weight ＜4250 g). The clinical features of labor process and maternal baby outcomes in the two groups were analyzed. Results:
胎儿体重对持续性枕后位产程特征和分娩结局影响的分析
