初产妇足月妊娠胎膜早破胎头高浮对分娩方式的影响及处理方法

目的 探讨初产妇足月妊娠胎膜早破胎头高浮对分娩方式的影响及处理方法.方法 选取2011年1月～2013年1月在我院住院分娩与治疗的214例初产足月妊娠胎膜早破胎头高浮且无其他任何相关性疾病的患者作为研究组,再选取同期214例初产足月妊娠胎膜早破胎头入盆且无其他任何相关性疾病的患者作为对照组,记录两组患者的分娩方式、潜伏期及活跃期,对产后新生儿进行Apgar评分和体质检测,对数据进行分析.结果 两组患者在潜伏期低于8小时、8～16小时之间及活跃期低于4小时的人数比较,差异均有统计学意义（均P＜0.05）;两组患者阴道正常顺产和剖宫助产的人数对比,差异均具有统计学意义（均P＜0.05）;两组胎儿宫内窘迫例数、新生儿Apgar评分＜7分例数以及新生儿平均体重比较,差异均具有统计学意义（均P＜0.05）.结论 胎膜早破后胎头高浮极易引起难产且严重危害围产儿体质,产科医护人员需要重视胎膜早破胎头高浮孕妇的临床观察,加强孕妇的孕期保健,产前严密观察孕妇头盆关系,严格试产.

The impact of prom and floating fetal head on the mode of delivery in uterogestation of primipara

Objective To explore the impact of prom and floating fetal head on the mode of delivery in uterogestation of primipara. Methods 214 patients with prom with floating fetal head were selected as study group and 214 patients with prom without floating fetal head as control group. The mode of delivery, latency, active period, Apgar score and physical fitness of newborn were observed. Results The patients with incubation period of 8 hours, 8-16 hours and the number of active period of the two groups were significantly different （P〈0.05）. The patients with normal vaginal birth of the two groups was statistically significant different （P〈0.05）. The patients with fetal distress, Apgar score 7 points and the average weight of newborns of the two groups were statistically significant （P〈0.05）. Conclusion Prom and floating fetal head can easily induce serious harm dystocia and perinatal constitution.