持续性枕后位的处理

目的：探讨如何处理持续性枕后位，以尽可能减少母儿并发症。方法：总结分析了１２０例持续性枕后位的孕周、胎儿体重、产重长短对分娩方式的影响以及不同分娩方式对母儿的影响。结果：当孕周大于等于４０周，胎儿体重大于等于３５００ｇ，潜伏期大于８ｈ，活跃期大于４ｈ时，剖宫产率明显增高，持续性枕后位所致的产程延长及手术助产增加了新生儿窒息率和产妇的并发症。结论：对持续性枕后位应正确观察处理各产程，早期诊断，充分估计其阴道分娩的可能性，对不适于阴道分娩者，应果断行剖宫产术，以降低母儿并发症。［

Management of Persistent Occipito Posterior Position

Objective To study the treatment of persistent occipito posterior position (POPP) and to reduce the complication of mothers and fetuses. Method 120 cases of POPP were analysed for the influence of their pregnant weeks, fetus's weight, stage of labor on the labor way and the influence of every labor way on motifers and fetuses.Results There was a significant rise in the rate of cesarean section when pregnant period was over 40w, fetus's weight over 35009 and the stage of labor longer. These increased in the rate of neonatal asphyxia and the complication of confinement women. Conclusion It's necessary that we treat every stage of labor correctly and diagnose POPP as early as possible. The possibility of vaginal delivery should be estimated. Once it is impossible, we must actively perform cesaream section.