Head difficult clinical analysis of 122 cases.docVIP

 PAGE \* MERGEFORMAT 8 Head difficult clinical analysis of 122 cases [Keywords:] dystocia, cesarean section, clinical analysis Our hospital in January 2006 ~ January 2008 Head difficult initial production of 122 cases, the Head difficult because of the following. 1 Clinical data January 2006 ~ January 2008 first birth occurred in our hospital 122 cases of first childbirth, the rate was 8.1%, 122 cases of head position in 28 cases of dystocia obvious cephalopelvic disproportion, not birth, do split after labor house production operation. which house 13 patients with highgt; = 40 cm, the fetal head biparietal diametergt; = 9.6 cm, estimated fetal weight wasgt; = 4 100 g .10 cases of the great children abnormal antenatal pelvic measurements (both small pelvis 5 cases of flat pelvis in 3 cases, 2 cases of pelvic rickets. labor after the fetal head and cross shame not Rupen positive signs .5 cases of serious maternal fetal head position there is an irreversible disorder (1 case the amount of bits, the first inequality dumping 3 cases, 1 case of posterior chin. The remaining 94 cases of maternal domestic Crouch header bits are used for prenatal scoring rate, the pelvis and birth weight scores of 2 andgt; = 7 points, given after the trial production labor, labor was drawn map observe the progress of labor. 2 Results 2.1 The clinical manifestations of labor abnormalities in 94 cases of primary uterine inertia occurs because of latency in 14 cases, accounting for 14.9%. Because of secondary uterine inertia, fetal head occurs with active extension of the internal rotation blocked or stagnant 60 cases, 63.8 %. which delay or stagnation cervical dilatation in 25 cases, delayed fetal head or stagnation continuing abnormal fetal head position with 35 cases. because of persistent occipito transverse position or persistent occiput posterior position to extend a second stage of labor in 20 cases, accounting for 21.3%. 2.2 The mode of delivery in 122 patient