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[持续性枕后位对分娩方式的影响]

[Effects of persistent occiput posterior presentation on mode of delivery].

作者信息

Gardberg M, Tuppurainen M

机构信息

Frauenklinik, Zentralkrankenhaus Vaasa, Finnland.

出版信息

Z Geburtshilfe Perinatol. 1994 Aug;198(4):117-9.

PMID:7975796
Abstract

In this study of 2437 deliveries, 119 (4.9%) took place in the occiput posterior position (OP). Only 33.9% of these did not require any operative intervention, versus 82% in the occiput anterior group (OA). The total duration of labor and the duration of the second stage were significantly longer in the OP group. The Apgar scores of the newborns at 1 minute and 5 minutes were significantly lower in the OP group. Episiotomies and perineal tears were more frequent in the OP group, but the difference was not significant.

摘要

在这项针对2437例分娩的研究中,119例(4.9%)为枕后位(OP)分娩。其中只有33.9%的分娩无需任何手术干预,而枕前位组(OA)这一比例为82%。OP组的总产程和第二产程明显更长。OP组新生儿1分钟和5分钟时的阿氏评分明显更低。OP组的会阴切开术和会阴撕裂更为常见,但差异不显著。

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Associated factors and outcomes of persistent occiput posterior position: A retrospective cohort study from 1976 to 2001.持续性枕后位的相关因素及结局:一项1976年至2001年的回顾性队列研究。
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Effect of fetal position on second-stage duration and labor outcome.胎儿体位对第二产程时长及分娩结局的影响。
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Occiput posterior fetal head position increases the risk of anal sphincter injury in vacuum-assisted deliveries.枕后位胎儿头部位置会增加真空辅助分娩时肛门括约肌损伤的风险。
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