中国妇幼健康研究2011，Vol.22Issue(2)：218-219,2.DOI:10.3969/j.issn.1673-5293.2011.02.039
徒手旋转胎头矫正持续性枕后位的临床观察
A clinical application of manual rotation of oersistent occipito-posterior position of fetus
卢芳 1谢美华1
作者信息
- 1. 南京江宁区中医院产科,江苏,南京,211100
- 折叠
摘要
Abstract
Objective To explore an effective method to correct persistent occiput posterior position(POPP) so as to reduce incidence rate of dystocia. Methods 92 parturient women whose process of labor had entered into the active stage but their fetuses were still in POPP,although such methods as administrating uterine contraction enhancing drugs, changing the parturient women' body position and blocking cervical edema were adopted, the fetuses' position couldn' t be rotated into normal occipitoanterior position, were performed on manual rotation of fetal position by combined transabdominal fetal massage manuipulations. Results The fetuses' POPP of 80 parturient women was successfully reverted with a success rate of 87.0％, but the fetuses' POPP of 12 parturient women failed to be reverted. No complications such as fetal scalp abrasions, intracranial hemorrhage, placental abruption, umbilical cord prolapse and soft birth canal abrasions occurred. Conclusion Manual rotation of POPP of fetal head can improve warp and cephalopelvic relation so that the fetus can be smoothly deliverod out in occitoanterior position and rates of cesarean section and dystocia could be reduced.关键词
旋转/胎头/难产/持续性枕后位/临床观察Key words
rotation/ fetal head/ dystocia/ persistent occiput posterior position(POPP)/ clinical observation分类
医药卫生引用本文复制引用
卢芳,谢美华..徒手旋转胎头矫正持续性枕后位的临床观察[J].中国妇幼健康研究,2011,22(2):218-219,2.
