简介:摘要目的探讨剖宫产手术过程中胎儿头娩出困难行足牵引或臀牵引的临床价值。方法选取我院2005年1月~2009年1月行头位剖宫产手术的产妇60例,均为剖宫产中胎头入盆过深而发生头娩出困难,根据剖宫产助产方式将产妇分为产钳助产组与臀(足)位牵引助产组,对比两组产妇的手术指征与不良事件发生情况。结果臀(足)位牵引组产妇相比产钳助产组,术中出血量显著减少(P<0.05),胎儿胎头娩出时间显著缩短(P<0.05),新生儿窒息率显著降低(P<0.05),子宫切口撕裂情况无显著性差异(P>0.05)。讨论应用臀或足位牵引术能够有效缓解剖宫产术中胎儿头娩出困难的情况,缩短胎儿分娩时间、减少术中出血量,减少新生儿窒息情况的发生,适合临床中广泛应用。
简介:【摘 要】目的:探讨头位难产剖宫产术中胎儿的娩出方式,减少母婴并发症,降低孕产妇、围产儿死亡率和伤残儿的发生率。方法:回顾性分析 2018年 9月至 2019年 9月我院收治的 64例头位难产剖宫产术中以臀牵引术娩出胎儿 28例,头位娩出胎儿 38例,进行分析比较母婴并发症的发生率。结果: 28例头位难产剖宫产术中以臀牵引术娩出的胎儿,无一例新生儿产伤,子宫切口延长 4例( 14.3%),产后出血 3例( 10.%); 38例头位娩出胎儿中,新生儿产伤(颅内出血) 3例( 7.9%),产妇子宫切口延长 10例( 26.3%),宫颈裂伤 8例( 21.1%),产后出血 10例( 26.3%)。结论:头位难产剖宫产术中恰当应用臀牵引术娩出胎儿,可降低母婴并发症。 【关键词】头位难产;剖宫产;臀牵引术;母婴并发症 [Abstract] Objective: To explore the delivery mode of fetus in cesarean section of cephalic dystocia, reduce the complications of mother and infant, and reduce the mortality rate of pregnant women, perinatal and disabled children. Methods: from September 2018 to September 2019, 64 cases of cesarean section with cephalic dystocia in our hospital were analyzed retrospectively. 28 cases of fetus delivered by hip traction and 38 cases of fetus delivered by cephalic position. The incidence of complications between mother and infant was analyzed and compared. Results: in 28 cases of cesarean section, there was no newborn birth injury, 4 cases of prolonged uterine incision (14.3%), 3 cases of postpartum hemorrhage (10%); in 38 cases of cephalic delivery, 3 cases of neonatal birth injury (intracranial hemorrhage) (7.9%), 10 cases of Prolonged Uterine incision (26.3%), 8 cases of cervical laceration (21.1%), and 10 cases of postpartum hemorrhage (26.3%). Conclusion: it can reduce the complications of mother and infant to use hip traction to deliver fetus in cesarean section of cephalic dystocia.
简介:【摘 要】目的:探讨头位难产剖宫产术中胎儿的娩出方式,减少母婴并发症,降低孕产妇、围产儿死亡率和伤残儿的发生率。方法:回顾性分析 2018年 9月至 2019年 9月我院收治的 64例头位难产剖宫产术中以臀牵引术娩出胎儿 28例,头位娩出胎儿 38例,进行分析比较母婴并发症的发生率。结果: 28例头位难产剖宫产术中以臀牵引术娩出的胎儿,无一例新生儿产伤,子宫切口延长 4例( 14.3%),产后出血 3例( 10.%); 38例头位娩出胎儿中,新生儿产伤(颅内出血) 3例( 7.9%),产妇子宫切口延长 10例( 26.3%),宫颈裂伤 8例( 21.1%),产后出血 10例( 26.3%)。结论:头位难产剖宫产术中恰当应用臀牵引术娩出胎儿,可降低母婴并发症。 【关键词】头位难产;剖宫产;臀牵引术;母婴并发症 [Abstract] Objective: To explore the delivery mode of fetus in cesarean section of cephalic dystocia, reduce the complications of mother and infant, reduce the mortality rate of pregnant women, perinatal children and the incidence of disabled children. Methods: from September 2018 to September 2019, 64 cases of cesarean section with cephalic dystocia in our hospital were analyzed retrospectively. 28 cases of fetus delivered by hip traction and 38 cases of fetus delivered by cephalic position. Results: in 28 cases of cesarean section, there was no newborn birth injury, 4 cases of prolonged uterine incision (14.3%), 3 cases of postpartum hemorrhage (10%); in 38 cases of cephalic delivery, 3 cases of neonatal birth injury (intracranial hemorrhage) (7.9%), 10 cases of Prolonged Uterine incision (26.3%), 8 cases of cervical laceration (21.1%), and 10 cases of postpartum hemorrhage (26.3%). Conclusion: it can reduce the complications of mother and infant to use hip traction to deliver fetus in cesarean section of cephalic dystocia.