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目的 探讨钳产原因及对母儿预后的影响。方法 分析1994年1月～1997年12月间166例钳产临床资料。结果 胎儿宫内窘迫、持续性枕横位(后位)、产程延长及宫缩乏力等为产钳术结束分娩的主要指征。对新生儿的影响主要为新生儿窒息、产伤;对母亲的影响主要为软产道裂伤、产后出血及会阴伤口愈合不良等。结论 产钳术为终止妊娠的重要助产方式,但对母儿预后有不同程度的影响,应严密监护,及早发现不良情况,并及时处理异常产程,严格掌握产钳术的适应证,采用适当的分娩方法
Objective To investigate the causes of pliers and the impact on the prognosis of maternal and child. Methods The clinical data of 166 cases of pincerion between January 1994 and December 1997 were analyzed. Results Fetal distress, persistent occiput transverse position (posterior), prolonged labor and uterine atony were the main indications for the end of delivery. The impact on newborns mainly for neonatal asphyxia, birth trauma; the impact of the mother are mainly soft birth canal laceration, postpartum hemorrhage and perineal wound healing and poor. Conclusion Obstetric forceps is an important midwifery method for terminating pregnancy, but it has different degrees of influence on the prognosis of maternal and child. Careful monitoring should be carried out to find out the adverse conditions as soon as possible. Abnormal labor should be handled promptly. The indication of forceps operation should be strictly controlled. method