Clinical value of correcting occipitoposterior position by changing maternal body position during laboring
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摘要:
目的 探讨产程中提前干预产妇体位矫正枕后位的临床效果。 方法 选取2014年5月~2015年05月入住我科足月初产妇172例，都在潜伏期或活跃期经查体结合B超检查证实为枕后位者，依孕妇本人意愿和要求分为实验组和对照组，对照组只按常规处理生产，实验组按常规处理外采取产妇体位干预。然后回顾性比较两组产妇自然分娩率、剖宫产率、产程时间、母婴并发症。 结果 观察组自然分娩率61.6%、剖宫产率27.9%；对照组自然分娩率34.9%、剖宫产率37.2%，产程时间、母婴并发症在两组差异有统计学意义（P<0.05）。 结论 产程中通过改变产妇体位矫正枕后位，有助于顺利进行阴道自然分娩，减少难产，有效提高分娩质量，为保证母婴的生命安全具有重要的作用。 Abstract:Objective To investigate the clinical effect of correcting occipitoposterior position by changing maternal body position during laboring. Methods We selected 172 cases of mature primigraida who visited the Obstetrics Department of our hospital from May 2014 to May 2015. All the primigraidas were in incubation period or active period and were confirmed as occipitoposterior position by physical examination and ultrasonography. The experimental group and the control group were divided according to the wishes and requirements of the primigraidas. The control group received routine treatment and the the experimental group received position intervention in addition to routine treatment. Retrospective comparison of the two groups was carried out in aspects of maternal natural labor rate, cesarean section rate, labor time, maternal and infant complications. Results There were significant differences between the two groups in aspects of maternal natural labor rate (61.6% vs 34.9%, experimental group vs control group), cesarean section rate(27.9% vs 37.2%, experimental group vs control group), labor time, maternal and infant complications(P<0.05). Conclusion Correcting occipitoposterior position by changing maternal body position during laboring plays an important role in ensuring the life safety of mother and infant, for it is helpful to vaginal delivery and it reduces dystocia as well as improves the quality of delivery. -
表 1 两组产妇分娩方式比较[n=86,例（%）]
组别 软产道损伤 产后出血 产后感染 对照组 3（3.35） 42.01±5.41 1（1.2） 实验组 1（1.2） 53.81±4.35 0(0) *P＜0.05 vs 对照组. 
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表 2 两组母亲产后并发症比较[n=86,例（%）]
组别 手术分娩 自然分娩 胎吸术 产钳术 剖宫术 对照组 21（24.4） 3（3.5） 32（37.2） 30（34.9） 实验组 8（9.3） 1（1.2） 24（27.9） 53（61.6）* *P＜0.05 vs 对照组.
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