计划分娩100例临床分析

对有选择计划分娩100例进行分析。经宫颈促熟,75％宫颈评分增加1～3分,全部≥7分;低剂量催产素诱导宫缩全部成功,77％在24小时内,93％在48小时内发动分娩;催产素静点或(和)人工破膜催产,产程明显缩短:平均潜伏期2°48’,活跃期3°35’,第二产程45’,总产程6°17’。头盆相称和宫颈成熟是成功的重要因素。头盆评分5～6分行剖宫产者占44.44％,7～8分者仅13.14％;宫颈评分5～6分者55.55％行剖宫产,≥7分者仅12.09％。宫缩强度以产程时间表示:产程短的区前组97.5％自然分娩;产程长的区后组全部手术产;三个区段的剖宫产率依次为0、17.65％和77.77％。经严格选择正常足月妊娠和≥36周有并发症者施行择期计划分娩对产妇和婴儿是安全的,切实可行的。

CLINICAL ANALYSIS OF PLANNED LABOR 100 CASES

Analysed 100 cases which selected from planned labor.By the cervix ripening, the 75%of cases, that cervix score was increased 1-3, totalja 7 . Induce contraction all succeeded by lower dose of oxytocin, 77% of cases started labor within 24 hour, a 93% in the 48 hour, when venoclysis of oxytocin or/and hasten delivery by artificial rupture membrane The labor courses distinctly shortened, average latent phase2 48' ,activephase 3 35', second course of labor 45', total 6 17'. Cephalopelvic proportion and cervix ripenness was important factor for succes of planned labor.When the cephalopelvic score 5~6 , 44.44% of cases is cesarean section, 7~8, it was 13.14%.When the cervix score 5-6, 55.55% of cases is casarean section, score>7 , only 12.09%.The uterus contraction intensity was showed that time of labor score, 97.5% of cases, which pre-region group with short course of labor, was normal delivery.a all cases of post-region group was operation delivery.The rate of cesarean section in the three regional stage was 0; 17.65%;77.78% respectively .Planned labor, that was strict selected, normal full-term pregnant and >36 weeks of pregnant woman and newborn.