摘要
目的 探讨产程中产妇采用两种不同体侧卧位纠正枕后位的临床效果。方法 选择潜伏期经内诊或B超确诊为枕后位的初产妇 10 0例 ,按随机表法分成同侧卧位组和对侧卧位组 (各 5 0例 ) ,分别采用同侧和对侧卧位法纠正胎方位 ,观察两组阴道分娩率、第 1产程时间。结果 ( 1)同侧卧位组阴道分娩 3 4例 ( 68% ) ,胎儿转至枕前位 2 7例 ( 5 4 % ) ,对侧卧位组阴道分娩为 2 2例 ( 4 4% ) ,胎儿转至枕前位 12例 ( 2 4 % ) ,两组比较 ,差异有显著性 (P <0 0 0 5 )。 ( 2 )同侧卧位组平均第 1产程时间为 ( 13 5± 6 5 )h;对侧卧位组平均第 1产程时间为 ( 17 1± 7 2 )h ,两组比较 ,差异有极显著性 (P <0 0 1)。结论产程中指导产妇取同侧卧位矫正枕后位 ,是提高阴道分娩率、缩短第 1产程的有效方法。
Objective To investigate the effect on correction of occipito posterior (OP) by changing maternal posture during labor Methods One hundred normal primigravida with head OP position in the latent phase of labor were randomly divided into 2 groups: Group A ( n =50), women were instructed to lay on the same lateral posture with the fetal spine during labor in order to correct the fetal position from OP to occipito anterior (OA); Group B ( n =50) lay on the opposite side to the fetal spine The OP position was diagnosed by vaginal examination or B ultrasound, and the course of labor and mode of delivery were observed Results Thirty four women delivered vaginally (68%) in group A, with 27 of them turned to OA position (54%); spontaneously while they were 22 (44%) and 12 (24%) in group B respectively, a significant difference was shown ( P <0 005) The average time interval for the 1 st stage was (13 5±6 5) hour and (17 1±7 2) hour for group A and B respectively, also a significant difference was noted ( P <0 01) Conclusion To instruct women in labor to take the lateral recumbent position with the same side of fetal spine for correcting OP to OA is an effective method It may increase vaginal deliveries and shorten the first stage of labor, thus reduce dystocia due to OP position This method is simple and effective, and maybe adopted in most obstertric units
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2001年第8期468-469,共2页
Chinese Journal of Obstetrics and Gynecology
