忽略性横位产的急救处理探讨

【摘要】 目的:探讨忽略性横位产的分娩结局及急救处理方法,减少母婴并发症的发生。方法:回顾性分析46例忽略性横位产妇的分娩资料。结果:忽略性横位临产后易发生胎膜早破、脐带脱垂、胎儿急性窘迫、死胎、新生儿重度窒息、死亡、产妇子宫破裂、感染、产后出血等母婴并发症多,死亡率高。结论:有子宫破裂或先兆子宫破裂者,无论胎儿死活均应立即行剖宫产术结束分娩;无先兆子宫破裂或子宫破裂征象者应根据胎儿是否存活或有无窘迫等情况给予剖宫产或内倒转术、毁胎术。更多还原

【Abstract】 Objective:To investigate the perinatal outcomes and first-aid treatment of neglected transverse lie and reduce the complications of maternal and infant.Methods:A retrospective review was performed including 46 patients whose neglected transverse lie. Results: After the patients of neglected transverse lie in labor,was easy to come up premature rupture of membrane、prolapse of umbilical cord、acute of fetal distress、fetal death、neonates severe birth asphyxia、neonate death、rupture of the uterus、infection, postpartum hemorrhage and so on.And that,the maternal and infant was at high risk of compications,mortality rate so was.Conclusion: There is need to have cesarean delivery to wind up the parturition when patients of neglected transverse lie have uterine rupture or the sign of uterine rupture whether fetus death or no.In addition,to have cesarean delivery、internal version or embryotomy when patients of neglected transverse lie without any sign of uterine rupture or the sign of uterine rupture to wind up the parturition,which according to the fetus whether fetal distress or whether death and so on.更多还原