how to find and deal with head difficult labor（如何发现和处理困难的劳动）.docVIP

How to find and deal with Head difficult labor Where the cephalic end of the delivery of surgery (cesarean section, vaginal delivery because of dystocia called Head difficult. Head difficult to form mainly due to the increase in resistance during childbirth, fetal abnormalities and birth canal abnormalities leading to increased resistance mainly causes of increased resistance tend to make productivity weakened, the weakening of the productive forces will not be able to overcome the resistance, so the formation of dystocia in cephalic presentation at birth, birth and dystocia no clear boundaries, with the exception of the pelvis, the vast majority of dystocia shown need to go through the general production process, production, the early detection and correct handling of the fetal head position exception is the key to reducing perinatal maternal and child morbidity. An abnormal fetal head position in the production early estimate 1.1 labor after detailed history and careful physical examination for early identification of fetal abnormalities first step. Medical history and careful physical examination, can understand the shape of the pelvis, pelvic each longitude degree of stenosis and which narrow plane. Use Kung, abdominal circumference, amniotic fluid volume of reference, the fetal head high and low, and combined with B ultrasound detection of biparietal diameter, femur length, fetal abdominal circumference and other indicators of preliminary estimates of fetal weight, prenatal to achieve the purpose of estimating the relationship of the first basin. 1.2 abnormal fetal head position, the clinical manifestations of the birth of the commonly used fetal head high float, does not converge or extension of the convergence, premature rupture of membranes secondary to uterine atony, cervical edema, dystocia rate of premature rupture of membranes, according to statistics 46.19% of maternal premature rupture of membranes may have cephalopelvic disproporti