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目的:探讨总结产程中头位难产预测的价值。方法:选择2010年9月～2012年6月在我站产科分娩的单胎孕妇300例,应用交叉型产程图进行预测。结果:有101例存在难产因素,其中胎方位异常59例,宫缩乏力40例,巨大儿2例。存在难产因素产妇的产程图活跃期起始角度偏小、宫口扩张曲线与胎头下降曲线交叉点位置偏后、宫口扩张最大加速期起始角度偏小,对比有明显差异(P<0.05)。结论:头位难产在临床上发生率较高,产程图中预测头位难产的效率较高,可以保障母婴安全。
Objective: To investigate the value of predicting the first labor-distress in labor. Methods: From September 2010 to June 2012, we selected 300 pregnant women with single childbirth in our hospital from January 1990 to June 2012. The cross-sectional labor map was used for prediction. Results: There were 101 cases of dystocia factors, including fetal position abnormalities in 59 cases, 40 cases of uterine inertia, macrosomia in 2 cases. There is a dystocia factor of labor in pregnant women, the active phase of the birth angle is small, uterine dilatation curve and the fetal head decline curve intersection position, the maximum angle of cervical dilatation onset angle is small, the contrast was significant difference (P <0.05 ). Conclusion: The incidence of dystocia in the clinic is high, and the efficiency of predicting head dystocia in the labor chart is high, which can ensure the safety of mother and infant.