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目的:探讨头位难产的发生原因及临床处理体会。方法对我院分娩的头位难产产妇的临床资料进行回顾性分析,总结头位难产的发生原因、临床特点以及分娩方式。结果:导致头位难产的主要原因是胎头位置异常,共115例(73.28%),其后依次为产力异常22例(14.01%),产道异常20例(12.74%)最终选择剖宫产的产妇为113例(71.97%),选择阴道分娩的产妇44例(28.02%)。结论:头位难产的发病率很高,最主要的原因为胎头位置异常,处理不当会增加对母婴的危害,需要在分娩过程中进行密切的监测,选择最为合适的分娩方式,减少围产期母儿并发症的发生。
Objective: To investigate the causes of head dystocia and clinical experience. Methods Retrospective analysis of the clinical data of the first bit of labor in delivery in our hospital to summarize the causes, clinical features and delivery mode of head dystocia. Results: The main causes of head dystocia were abnormal fetal head position (115 cases, 73.28%), followed by 22 cases (14.01%) of abnormalities, and 20 cases (12.74%) of abnormal birth canal. Of the mothers were 113 (71.97%) and 44 (28.02%) were mothers of vaginal delivery. Conclusion: The incidence of head dystocia is very high, the most important reason is abnormal fetal head position, improper handling will increase the harm to maternal and infant, it is necessary to carry out close monitoring in delivery process, select the most suitable mode of delivery, reduce circumference Maternal and childbirth complications.