Sun Shanshan, Liang Wenwen, Sun Fen, Yu Meili, Wu Liting, Xu Ting, Zhang Cui, Zhuang Wenfang, Li Jia
Department of Gynecology and Obstetrics, The Affiliated Taian City Centeral Hospital of Qingdao University, Taian, 271000, China.
Department of Ultrasound, The Affiliated Taian City Centeral Hospital of Qingdao University, Taian, 271000, China.
BMC Pregnancy Childbirth. 2025 Jan 22;25(1):52. doi: 10.1186/s12884-025-07170-6.
To investigate the effectiveness of combining intrapartum ultrasound with free maternal positions in managing abnormal labor, specifically focusing on its impact on delivery outcomes.
A retrospective cohort study was conducted on 176 cases of abnormal labor progression in women who attempted vaginal delivery at our hospital from June 2021 to May 2022. Among these, 88 cases were diagnosed with abnormal fetal positions using a combination of intrapartum ultrasound and vaginal examination, and these patients were guided to adopt free maternal positions (experimental group). The control group comprised 88 cases diagnosed with abnormal fetal positions through vaginal examination alone, without any intervention to correct positioning. Maternal and neonatal outcomes, including the duration of the first and second stages of labor, total labor time, cesarean section rates due to failed progression, postpartum hemorrhage, and length of hospital stay, were compared between the two groups.
The experimental group demonstrated significantly reduced durations of the first and second stages of labor, as well as total labor time, compared to the control group. Furthermore, the rate of cesarean sections due to failed progression was significantly lower in the experimental group. Additionally, the experimental group experienced lower rates of postpartum hemorrhage and shorter hospital stays, with statistically significant differences observed.
Combining intrapartum ultrasound with free maternal positions shows promise in improving delivery outcomes for women with abnormal fetal positions during labor. These findings highlight the potential benefits of this approach in enhancing the quality of delivery.
探讨产时超声与产妇自由体位相结合在处理难产中的有效性，特别关注其对分娩结局的影响。
对2021年6月至2022年5月在我院尝试经阴道分娩的176例产程异常的产妇进行回顾性队列研究。其中，88例经产时超声和阴道检查联合诊断为胎位异常，这些患者被指导采取自由体位（实验组）。对照组包括88例仅通过阴道检查诊断为胎位异常的患者，未进行任何纠正体位的干预。比较两组产妇和新生儿的结局，包括第一产程和第二产程的时长、总产程时间、因产程进展失败而行剖宫产的比率、产后出血情况及住院时间。
与对照组相比，实验组第一产程和第二产程的时长以及总产程时间均显著缩短。此外，实验组因产程进展失败而行剖宫产的比率显著更低。另外，实验组产后出血率更低，住院时间更短，差异均有统计学意义。
产时超声与产妇自由体位相结合在改善产时胎位异常产妇的分娩结局方面显示出前景。这些发现凸显了该方法在提高分娩质量方面的潜在益处。
