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目的提高临床识别及处理持续性枕后位的能力,减少母婴并发症。方法江苏省扬州市妇幼保健院2007年7月至2008年6月分娩的产妇共3606例,其中发生持续性枕后位的120例,对其进行回顾性分析。结果120例产妇中,自然分娩8例(6.67%),产钳助产16例(13.33%),剖宫产96例(80%),产妇发生产后出血18例(15%),无未生儿死亡,新生儿窒息10例(8.33%)。结论持续性枕后位应早期识别,积极处理,避免过度试产,适当放宽剖宫产手术指征,以减少母婴并发症。
Objective To improve the ability of clinical identification and treatment of persistent posterior occiput posterior position to reduce maternal and child complications. Methods Maternal and Child Health Hospital of Yangzhou City, Jiangsu Province from July 2007 to June 2008 delivered a total of 3606 women, of which 120 cases of persistent posterior occiput posterior position, its retrospective analysis. Results Among the 120 cases, 8 cases (6.67%) were delivered spontaneously, 16 cases (13.33%) were forceps assisted delivery, 96 cases (80%) were cesarean section and 18 cases (15%) were postpartum hemorrhage. Death, neonatal asphyxia in 10 cases (8.33%). Conclusion Persistent occiput posterior position should be identified early, and actively deal with to avoid excessive trial production, appropriate relaxation of cesarean section indications to reduce maternal and child complications.