52例低位产钳助产对母婴影响临床探讨.docVIP

52例低位产钳助产对母婴影响临床探讨 　　【摘要】 目的：分析经阴道分娩施行低位产钳助产对母婴的影响，探讨有效施行低位产钳助产是否会增加母婴已存在的风险。方法：回顾性分析于笔者所在医院经阴道分娩进行低位产钳助产的52例产妇的临床资料，分析施行低位产钳助产对母婴预后的影响。结果：52例均经阴道施行低位产钳助产顺利分娩，发生轻度窒息4例，重度窒息2例；新生儿头颅血肿10例，第二产程延长发生头颅血肿率高（P0.05）。产后出血8例，宫缩乏力及第二产程延长发生率高（P0.05）。产妇会阴侧剪基础上并发软产道裂伤5例，宫缩乏力及第二产程延长发生率高（P0.05）；会阴伤口甲级愈合51例，会阴伤口愈合不良1例。结论：掌握施行低位产钳助产对母婴较为安全，具有操作简单快捷，损伤小，是目前较好的经阴道分娩的助产方法。 　　【关键词】 阴道分娩； 低位产钳助产； 母婴风险 　　中图分类号 R717 文献标识码 B 文章编号 1674-6805（2014）17-0124-02 　　【Abstract】 Objective：Analysis by vaginal delivery of low forceps midwifery impact on maternal and infant， investigate the low effective forceps midwifery would increase the risk of maternal and infant had been in existence.Method： In the author’s hospital were retrospectively analyzed by vaginal delivery were low forceps midwifery， the clinical data of 52 cases of maternal analysis of low forceps midwifery effects on mcaternal and infant prognosis.Result：Enforcement of 52 cases were transvaginal low forceps midwifery easy childbirth， mild asphyxia （4 cases）， severe asphyxia in 2 cases； the second 10 cases of neonatal head haematoma， prolonged labor， high head haematoma rate （P0.05）. Postpartum hemorrhage in 8 cases， high contractions fatigue and the second prolonged labor rate （P0.05）. Based on the maternal side of perineum cut and soft birth canal laceration in 5 cases， contractions fatigue and second high prolonged labor rate （P0.05）. Perineum wounds healed at the first 51 cases， perineum wound healing in 1 case. Conclusion： The Low-Forceps Delivery （LFD） was much safer for both mothers and children. Since the operation of LFD is relatively simple and it would bring little harms， it is considered to be a good way for vaginal delivery currently. 　　【Key words】 Vaginal delivery； Low forceps； Maternal risk 　　First-author’s address：Yangshan County People’s Hospital，Yangshan 513100，China 　　选择分娩方式是产妇比较困惑的问题，而经阴道分娩是传统的正常分娩方式，因此到目前为止大多数产妇是经阴道分娩，但在阴道分娩过程中，常常会碰到以下情况：（1）产妇有合并症或出现并发症需尽快结束阴道分娩；（2）胎头下降S+3，胎儿出现宫内窘迫，需尽快结束产程；（3）第二产程延长；（4）产妇疲倦、宫缩乏