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目的产程中徒手矫正持续性枕后位的效果观察.方法第一产程中活跃期宫口开大6cm以后诊断为枕后位而无明显头盆不称的产妇62例,随机分为两组,研究组32例,施行手法旋转为枕前位。对照组30例,不采取手法转位。结果研究组26例胎儿自然分娩(81.25%),剖宫产6例(18.75%),对照组14例胎儿自然分娩(46.67%),剖宫产16例(53.33%),两组比较有显著性差异(P<0.01)。研究组第一产程平均时间(14.1±5.6)h短于对照组(16.8±7.9)h,两组有显著性差异(P<0.01)。结论产程中通过手法转位矫正枕后位是有效而安全的,可以降低剖宫产发生率,对母婴健康有益。
Objective: To observe the effect of continuous correction of posterior occiput posterior position.Methods Sixty-two cases of active maternal vaginal opening 6cm after diagnosis in the first stage of labor were diagnosed as posterior occipital posterior position without obvious cephalopelvic disproportion, and randomly divided into two groups, Study group 32 cases, the implementation of tactics for the rotation of the front pillow. Control group of 30 cases, do not take the method of transposition. Results In the study group, 26 cases were born with spontaneous delivery (81.25%), 6 cases with cesarean section (18.75%), 14 cases with spontaneous delivery (46.67%) and 16 cases with cesarean section (53.33%) in control group. Sex differences (P <0.01). The average duration of the first stage of labor in the study group was shorter than that in the control group (14.1 ± 5.6) h and (16.8 ± 7.9) h, respectively. There was a significant difference between the two groups (P <0.01). Conclusion It is effective and safe to correct the posterior position of the pillow by manual manipulation in the labor process, which can reduce the incidence of cesarean section and be beneficial to the health of both mother and child.