摘要
目的探讨镇痛分娩过程中改剖宫产的相关因素,为完善镇痛分娩的临床处理提供依据,提高镇痛分娩成功率。方法回顾性分析我院2007年4月至2008年4月采用腰-硬联合自控镇痛法分娩312例病人,其中改剖宫产59例,分析剖宫产原因。结果在剖宫产原因中,持续性枕横位/枕后位29例,占49%,胎儿窘迫20例,占34%,宫缩乏力6例,占10%,巨大胎儿,家人要求各2例,占7%。结论持续性枕横位/枕后位,胎儿窘迫,是镇痛分娩中改剖宫产的主要原因。
Objective To study the related reasons of caesarean section during the process of labor analgesia,as so as provide the clinical evidence for improving labor analgesia and raising its success rate. Methods There are 312 cases who underwent combined spinal-epidural analgesia during April,2007 to April,2008 were analyzed retrospectively,59 cases failed to labor trial,the reasons of caesarean section were analyzed. Results Among the reasons of caesarean section,there were 29 cases of persistent occiput posterior position or persistent occiput transverse poition（49% ）, 20 cases of fetal distress（34% ）, 6 case of uterine inertia（ 10% ）,fetal macrosomia and families demanded were 2 cases each. Conclusion Persistent occiput posterior position or persistent occiput transverse poition, fetal distress are the main reasons of caesarean section during the labor analgesia.
出处
《中国现代医生》
2009年第26期159-160,共2页
China Modern Doctor
关键词
镇痛
分娩
剖宫产
Analgesia
Labor
Caesarean section
