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近年来,横位、臀位难产虽已明显减少,但头位难产仍是一个突出的问题。据福建省人民医院1979~1980年分娩2033例的统计,头位分娩为1926例,占95%(其中因头位难产施术者占15%)。重庆医学院附属二院1975~1979年统计,头位难产的发生率为21.4%。由于正常分娩是以头为先露,故头位难产易被忽视。本文重点介绍产程图和头位分娩评分法在临床中的应用。
In recent years, lateral, breech dystocia has significantly reduced, but the first bit of labor is still a prominent problem. According to the statistics of 2033 cases of childbirth from 1979 to 1980 in Fujian Provincial People’s Hospital, the head childbirth was 1926 cases, accounting for 95% (among them 15% were those with head dystocia). Second Affiliated Hospital of Chongqing Medical College from 1975 to 1979 statistics, the first bit of dystocia incidence was 21.4%. Due to the normal delivery is the head of the first dew, head dystocia easily overlooked. This article focuses on the application of labor map and head position delivery score in clinical practice.