护理实践与研究
護理實踐與研究
호리실천여연구
Nursing Practice and Research
2015年
11期
103-104
,共2页
第二产程%延长原因%新生儿窒息%高危因素
第二產程%延長原因%新生兒窒息%高危因素
제이산정%연장원인%신생인질식%고위인소
The second stage of labor%Prolonged reasons%Neonatal asphyxia%Risk factors
目的:探讨第二产程延长的原因及延长后导致新生儿窒息的高危因素。方法:筛选2013年1月~2014年1月于我院进行分娩并发生第二产程延长的产妇106例作为研究对象。对所有产妇应用超声进行产前检查观察胎儿体位等情况,分娩过程前观察产妇产道、胎儿体位及胎儿娩出时脐带位置,分析产妇第二产程延长的原因及造成新生儿窒息的高危因素。结果:106例产妇均发生第二产程延长,其中造成第二产程延长的前四位原因为:胎儿体位异常37例(34.91%),产妇宫缩乏力15例(14.15%),脐带位置异常22(20.75%),产道异常14例(13.21%)。其中发生新生儿窒息14例。结论:造成第二产程延长的主要原因为胎儿体位异常、产妇宫缩乏力、产道异常、脐带位置异常,同时胎儿窘迫、脐带位置异常是导致第二产程延长后新生儿窒息的主要因素。
目的:探討第二產程延長的原因及延長後導緻新生兒窒息的高危因素。方法:篩選2013年1月~2014年1月于我院進行分娩併髮生第二產程延長的產婦106例作為研究對象。對所有產婦應用超聲進行產前檢查觀察胎兒體位等情況,分娩過程前觀察產婦產道、胎兒體位及胎兒娩齣時臍帶位置,分析產婦第二產程延長的原因及造成新生兒窒息的高危因素。結果:106例產婦均髮生第二產程延長,其中造成第二產程延長的前四位原因為:胎兒體位異常37例(34.91%),產婦宮縮乏力15例(14.15%),臍帶位置異常22(20.75%),產道異常14例(13.21%)。其中髮生新生兒窒息14例。結論:造成第二產程延長的主要原因為胎兒體位異常、產婦宮縮乏力、產道異常、臍帶位置異常,同時胎兒窘迫、臍帶位置異常是導緻第二產程延長後新生兒窒息的主要因素。
목적:탐토제이산정연장적원인급연장후도치신생인질식적고위인소。방법:사선2013년1월~2014년1월우아원진행분면병발생제이산정연장적산부106례작위연구대상。대소유산부응용초성진행산전검사관찰태인체위등정황,분면과정전관찰산부산도、태인체위급태인면출시제대위치,분석산부제이산정연장적원인급조성신생인질식적고위인소。결과:106례산부균발생제이산정연장,기중조성제이산정연장적전사위원인위:태인체위이상37례(34.91%),산부궁축핍력15례(14.15%),제대위치이상22(20.75%),산도이상14례(13.21%)。기중발생신생인질식14례。결론:조성제이산정연장적주요원인위태인체위이상、산부궁축핍력、산도이상、제대위치이상,동시태인군박、제대위치이상시도치제이산정연장후신생인질식적주요인소。
Objective:To investigate the risk factors leading to neonatal asphyxia investigate the cause of prolonged second stage of labor and after prolonged. Methods:Selected second prolonged maternal from January 2013 - January 2014 for the study. Of all maternal prenatal ultrasound examination to observe fe-tal position,etc. ,before the observation of maternal birth canal during delivery,when the umbilical cord fetal position and the position of the fetus,the mater-nal prolonged second stage of analysis of causes and risk factors caused by neonatal asphyxia. Results:106 cases of maternal occurred prolonged second stage of labor,which caused prolonged second stage of the top four reasons as follows:37 cases of abnormal fetal position(34. 91% ),maternal uterine inertia in 15 cases(14. 15% ),umbilical cord abnormal position 22(20. 75% ),abnormal birth canal 14 cases(13. 21% ). Where 14 cases of neonatal asphyxia. Conclusion:Resulting in prolonged second stage of the main reasons abnormal maternal uterine inertia,birth canal abnormal fetal position,umbilical cord ab-normal position,while fetal distress,cord abnormal position of the main factors leading to the second stage of labor prolonged neonatal asphyxia.