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| Clinical effect of postural change combined with manual fetal head rotation in correcting persistent occipitoposterior position |
| YANG Mei1 ZHENG Lan-lin2▲ HE Hui-ai1 LYU Bo1 |
1.Department of Obstetrics,Women and Children′s Hospital of Hunan,Hu′nan Province,Changsha 410006,China;
2.Department of Obstetrics,Changsha Central Hospital,Hu′nan Province,Changsha 410006,China |
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Abstract Objective To explore the clinical effect of postural change combined with manual fetal head rotation in correcting persistent occipitoposterior position.Methods From August 2018 to January 2019,a total of 180 cases of persistent posterior occipital parturients who gave birth in Changsha Central Hospital of Hu′nan Province were selected as the subjects.90 parturients with persistent occipitoposterior position who underwent manual fetal head transfer intervention during labor from August to October 2018 were included as the control group,and 90 parturients with persistent occipitoposterior position who underwent combined body position change and manual fetal head transfer from November 2018 to January 2019 were included as the observation group,the time and the success rate of reduction in the first and second stages of labor between the two groups were compared.Results The duration of the first and second stages of labor in the observation group were shorter than those in the control group,the differences were statistically significant(P＜0.05);the success rate of reduction in the observation group was higher than that in the control group,the difference was statistically significant(P＜0.05).Conclusion In the process of persistent occipitoposterior dystocia,the method of postural change combined with manual fetal head transfer has advantages over the traditional manual fetal head transfer method in terms of labor duration and success rate,which is an effective measure to correct persistent occipitoposterior position and reduce the incidence of cephalic dystocia,and can be popularized and applied in clinical practice.
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Received: 25 March 2020
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| [1] |
黄荣英.顺产和剖宫产对母婴健康的影响比较[J].当代医学，2019，25（7）：14-16.
|
| [2] |
余丽纯.不同助产方法用于处理持续性枕横位的临床观察[J].齐齐哈尔医学院学报，2017，38（19）：2285-2286.
|
| [3] |
吴祥华，陆丽嫦，刘偲.胎位异常手转胎头术的技术关键及对妊娠结局影响研究[J].哈尔滨医药，2016，36（3）：231-232.
|
| [4] |
陆彩华.徒手旋转胎头术对枕横位和枕后位难产的治疗效果观察[J].母婴世界，2018，（23）：25，27.
|
| [5] |
刘莉.产程中运用膝胸卧位纠正枕后位的效果观察[J].中西医结合护理（中英文），2017，3（8）：106-108.
|
| [6] |
谢颖，戴小红，熊霞.第一产程骨盆摇摆辅助干预促进初产妇分娩的效果观察[J].护士进修杂志，2018，33（1）：54-56.
|
| [7] |
孔官妹，邓新连，李奇艳，等.分娩球配合自由体位助产对初产妇妊娠结局的临床观察[J].临床医学工程，2019，26（9）：1253-1254.
|
| [8] |
杨日华.胎位异常手转胎头术的技术关键及对妊娠结局影响研究[J].世界最新医学信息文摘，2017，17（54）：33，36.
|
| [9] |
吕世林.头位难产采用徒手胎头旋转术的时机探讨[J].临床医药文献电子杂志，2019，6（14）：19，21.
|
| [10] |
李爱兰.探讨体位改变配合徒手矫正胎方位临床实用价值[J].中国卫生标准管理，2016，7（20）：80-81.
|
| [11] |
管艳玲.头位难产应用徒手转胎纠正的临床研究[J].中国医药指南，2015，13（1）：175-176.
|
| [12] |
荣彬，冯怀，张丽丽，等.自由体位在第一产程中纠正枕后位/枕横位的应用效果[J].中国当代医药，2020，27（6）：96-98，102.
|
| [13] |
俞恒.手转胎头术配合体位改变纠正持续性枕横位胎儿的临床疗效评价[J].临床合理用药杂志，2015，8（2）：150.
|
| [14] |
周红林.体位改变联合手转胎头纠正胎头位置异常的临床效果及对分娩方式的影响[J].中国妇幼保健，2014，29（35）：5874-5876.
|
| [15] |
曾晓明，欧阳安.双手旋转胎头纠正持续性枕横（后）位的临床观察[J].江西医药，2017，52（10）：1040-1041.
|
|
|
|
