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102例胎儿持续性枕横位、枕后位产妇护理体会
引用本文:曹小芳,张广兰,王瑞,朱敏丽,王兰云,王伟.102例胎儿持续性枕横位、枕后位产妇护理体会[J].实用全科医学,2010,8(4):519-520.
作者姓名:曹小芳  张广兰  王瑞  朱敏丽  王兰云  王伟
作者单位:安徽省蚌埠医学院第一附属医院妇产科,233004 
摘    要:目的探讨胎儿持续性枕横位、枕后位产妇的护理措施。方法对102例胎儿持续性枕横位、枕后位产妇实施"转位三步法"。潜伏期做好产妇的心理护理及有效的健康教育,让产妇尽量放松,避免加强宫缩,为手法旋转做准备; 活跃早期让产妇采取变换体位的方法,利用胎儿的重心作用使胎位得以旋转,使转位成功的可能性更大; 活跃晚期产妇宫口开大6cm以上,胎头达坐骨棘平面或以下时,予实施手法旋转。结果102例胎儿持续性枕横位枕后位产妇中有88例转位成功并自然分娩,14例转位失败,转位成功率86.3%。结论对胎儿持续性枕横位枕后位产妇实施"转位三步法",能有效提高胎儿持续性枕横位枕后位产妇的自然分娩率,提高产科护理质量。

关 键 词:胎儿  枕横位  枕后位  胎儿转位术  护理

Nursing for 102 Cases of Parturients with Fetus'persistent occiput transverse and occiput posterior positions
CAO Xiao-fang,ZHANG Guang-lan,WANG Rui,et al..Nursing for 102 Cases of Parturients with Fetus''persistent occiput transverse and occiput posterior positions[J].Applied Journal Of General Practice,2010,8(4):519-520.
Authors:CAO Xiao-fang  ZHANG Guang-lan  WANG Rui  
Institution:CAO Xiao-fang,ZHANG Guang-lan,WANG Rui,et al.Department of Gynaecology , Obstetrics,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China
Abstract:Objective To investigate the nursing intervention on the parturients with Fetus'persistent occiput transverse and occiput posterior positions.Methods The 'Three-step Position Altering' was employed in 102 cases with Fetus'persistent occiput transverse and occiput posterior positions.Good psychologial nursing and health education were conducted for the parturients to make them relax as much as possible and avoid any increase in unterine contraction to prepare them for manual transposition.During early active...
Keywords:Fetus  Occiput transverse positions  Occiput posterior positions  Fetus transposition  Nursing  
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