改变产妇体位矫正胎方位170例临床观察

目的 探讨产程中改变产妇体位以矫正胎位的临床效果。方法 选择潜伏期经内诊或B超确诊为枕后位的初产妇170例,随机分成研究组和对照组,各85例。研究组在产程中指导产妇取侧俯卧位,对照组孕妇任意体位。结果 研究组72例(84.71％)胎儿从枕后位转至枕前位经阴道娩出。剖宫产13例,占15.29％,对照组经阴道娩出仅28例,22.94％,剖宫产57例,67.06％。两组比较,P<0.01),差异有非常显著性。两组产程比较,P<0.01,差异有极显著性。结论 在产程中指导产妇取胎儿脊柱侧行同侧侧俯卧位矫正胎头枕后位可降低难产发生率及剖宫产率,有助于提高分娩质量。

The Clinilcal study of correction of occipito-posterior position by Matemal posture

Objective To investigate the effect on correction of occipito - posterior position by changing maternl posture during Labor. Methods A prospective study was conducted in 85 prognant women. Another 85 women were selected as controls. Results In thestudy group, 72 women (84.71% ) delivered vaginally with fetal presentation change from op in oA, and 13 (15.23% ) received cesarean section. In control group only 28 women (16.7% (delivered vaginally. and 57 (67.06%) had cesarean section (P<0.01) .Asig-nificant difference was noted (P < 0.01). Conclusion It is an effective method for the mother to take the lateral posture on the same side of the fetul spine for correcting the op position. The incidene of dystocia may be reduced as well as the cesarean section rate.