原发宫缩乏力与妊娠结局的分析

目的探讨原发宫缩乏力病例的妊娠结局。方法对笔者所在医院近2年足月单胎头位1633例病例进行分析，其中原发宫缩乏力病例43例（研究组），再随机抽取50例病例作为对照组。结果研究组胎方位异常16例，占37．2％；对照组5例，占10％。研究组剖宫产38例，占88．4％；对照组19例，占38％。研究组胎儿体重大于3500g20例，占46．5％；对照组16例，占32％。研究组羊水污染11例，占25．6％，对照组8例，占16％。结论原发宫缩乏力病例中胎方位多异常，剖宫产几率高。提示要重视原发宫缩乏力，正确地处理产程。

The analysis of primary uterine atony and pregnancy outcome

Objective To explore the pregnancy outcome of the primary uterine atony. Methods To analyze the 1633 cases about full -term single -head pregnancies in recent 2 years in our hospital. Among the 1633 cases,43 cases are the cases of primary uterine atony which elected as a Study Group. To chose 50 cases as the comparison group in random. Resuits 16 cases are the cases of the abnormality of fetal position in Study Group, the rate is 37.2% ; 5 cases are the cases ofwhich in the comparison group, the rate is 10%. 38 cases are the cases of the cesarean section in Study Group ,the rate is 88. 4% ; 19 cases are the cases of which in the comparison group, the rate is 38% ; 20 cases are the cases of the birth weight which is greater than 3500 g in Study Group, the rate is 46.5% ; 16 cases are the cases of which in the comparison group, the rate is 32%. 11 cases are the cases of the amniotic pollution in Study Group, the rate is 25.6% ,8 cases are the cases of which in the comparison group,the rate is 16%. Conclusion The rate of the abnormality of fetal position and cesarean section is higher than that in the comparison group. We should attach importance to the primary uterine atony and deal with the process of childbirth correctly.