徒手旋转异常胎头位置160例临床观察及护理

目的观察产程活跃期徒手矫正异常胎头位置的临床效果。方法选择产程进入活跃期产妇160例，经加强产力，改变母体体位等处理后，胎方位仍不能自然旋转为枕前位，产程阻滞的持续性枕后位、枕横位，施行经阴道徒手旋转儿头、辅以经孕妇腹部轻推儿背为脊前方位的联合手法。结果徒手旋转异常胎头位置成功145例，失败15例，其中枕后位13例，枕直后位2例。结论该法可矫正异常胎头位置，使难产转为顺产，是降低难产发生率的有效方法。

Clinical Observation and Nursing of 160 cases of Manual Rotation of Malposition of Fetal Head

[Objective]To observe the clinical effect of manual rotation of malposition fetal head during the active stage of labor.[Methods]160 cases in active stage of labor were selected;manual rotation of fetal head assisted with gentle push on the parturients' belly was carried out when the fetuses had persistent occipital posterior or transverse position even after changing the mothers' body position.[Results]145 cases of manual rotation were successful,15 cases failed,among which 13 cases were in occipital posterior position and 2 cases were in occipital transverse position.[Conclusion]Manual rotation of malposition of fetal head is an effective method to reduce the incidence of difficult labor.