持续性枕后位的临床分析

目的探讨持续性枕后位的临床特点及分娩方式。方法采用回顾性分析方法,对82例持续性枕后位（枕后位组）和82例枕前位（枕前位组）的临床资料进行分析,比较两组产程进展、分娩结局及母婴并发症。结果两组活跃期延长、第二产程延长时间比较,两组比较差异有统计学意义（P〈0.05）。枕后位组并发症、剖宫产率、产钳助产率均明显高于枕前位组,两组比较差异有统计学意义（P〈0.05）。结论对持续性枕后位应做到早期诊断、及时处理、选择最佳的分娩方式以降低母婴并发症。

A clinical analysis of persistent occipital posterior position

Objective To investigate the clinical characteristics and modes of delivery in patients with persistent occipital posterior position（POPD）.Methods A total of 82 primipara with fetus in a persistent occiput posterior position and 82 primipara with fetus in an occiput anterior position were analyzed retrospectively. The labor course, mode of delivery and maternal-neonatal complications were compared between the two groups.Results Higher rate of prolonged second stage, prolonged active phase, complications, caesarean section and forceps delivery were occurred in POPP group compared with the control group. Significant differences were found between the two groups.Conclusion POPP patients should be diagnosed as early as possible and the best labor pattern should be adopted promptly in order to reduce the maternal-neonatal complications.