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目的探讨肩难产孕产妇的高危因素、处理方法及其预防措施。方法选取2012年6月至2013年12月在我院分娩的60例肩难产孕产妇为观察组,60例经阴道正常分娩顺产的孕产妇为对照组,比较两组孕产妇在产前、产时的指标,分娩期并发症及新生儿各径线、新生儿并发症的差别。结果观察组巨大儿和新生儿损伤发生率明显高于对照组(P<0.05)。两组孕产妇在宫高、腹围、第一产程、第二产程及新生儿的身长和体质量方面差异均有统计学意义(P<0.05)。结论巨大儿出现肩难产的发生率较高,产前做好预测是防止巨大儿肩难产的关键,正确熟练处理肩难产可有效减低母婴并发症的发生,提高母婴生命和生存质量。
Objective To investigate the high risk factors, treatment methods and preventive measures for maternal dystocia. Methods 60 cases of shoulder dystocia who gave birth in our hospital from June 2012 to December 2013 were selected as observation group and 60 cases of normal vaginal delivery of pregnant women as control group. When the indicators, complications of childbirth and neonatal pathological lines, neonatal complications. Results The incidence of macrosomia and neonatal injury in observation group was significantly higher than that in control group (P <0.05). There was significant difference between the two groups in the height of the uterus, abdominal circumference, the first stage of labor, the second stage of labor and the newborn’s body length and body weight (P <0.05). Conclusion The incidence of shoulder dystocia in giant children is high. Prenatal prediction is the key to prevent giant dorsal shoulder dystocia. Proper handling of shoulder dystocia can effectively reduce the incidence of maternal and infant complications and improve the quality of life and quality of life.