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头盆不称能顺产吗?

发布时间:2016-07-31   问大夫  责任编辑:红豆

热门推荐: 龙眼肉青黛罗汉果葡萄胎

怀孕期间,准妈妈有许多预防的事情,宝宝在胎内也会发生变化。宝宝如果头盆不称,就会影响胎儿的分娩。准妈妈们,平时就要做好预防,如果宝宝已经头盆不称了,那还能顺产吗?许多妈妈都想知道这个问题。下面小编带妈妈们了解一下什么是头盆不称,以及头盆不称能顺产吗?一起来了解一下吧。

什么是头盆不称

头盆不称是指胎儿头部大小、位置和准妈妈盆骨大小、形态不相称,胎头不能通过盆骨的情况。如果是胎儿头部过大,准妈妈盆骨大小正常,称为相对性头盆不称,或者称为相对性骨盆狭窄;如果是胎儿头部正常,准妈妈盆骨过小,称为明显性头盆不称,也称为绝对性骨盆狭窄。

胎儿头部及准妈妈盆骨大小可以通过专业测量来获得,具体可以参考以下数据。

1、相对性头盆不称:准妈妈骶耻外径16.5-17.5cm,骨盆入口前后径8.5-9.5cm

2、明显头盆不称:准妈妈骶耻外径≤16cm,骨盆人口前后径≤8.0cm,胎头高于耻骨联合平面,足月活胎难以入盆,不能经阴道分娩。

在孕期,准妈妈最好定时去做产前检查,以便了解自己是否存在头盆不称,再让医生采取相应的分娩方式。

头盆不称怎么诊断

头盆不称诊断应该在专业的医院进行。诊断时,孕妇排空膀胱,仰卧在床上,伸直两腿。医生将手放在准妈妈耻骨联合(大腿根中间的三角区)上方,同时将浮动的胎头往骨盆腔方向推压。

1、如果胎头低于耻骨联合平面,表示胎头可以入盆,头盆相称。

2、如果胎头与耻骨联合在同一平面上,表示为可疑头盆不称。

3、如果胎头高于耻骨联合平面,表示头盆明显不称。对出现头盆明显不称的准妈妈,应该再进行两腿屈曲半卧,再检查一次,如果胎头和耻骨联合回到同一个平面上,提示为骨盆倾斜度异常,并不是头盆不称。

头盆不称能顺产吗

1、头盆不称容易导致胎膜早破、脐带脱垂等情况。一般来说,头盆不称孕妇脐带脱垂发生的概率是正常准妈妈的4-6倍。

2、头盆不称影响胎儿入盆,容易导致胎儿窘迫、胎头受压、缺血、缺氧,发生颅内出血甚至造成胎儿死亡的危险。

3、头盆不称容易导致产程延长。同时,若是产道狭窄,手术助产机会将相应增多,容易导致新生儿产伤及感染的危险。

头盆不称要怎么预防

1、头盆不称的一大因素是胎儿头部过大,而胎头过大很大原因跟准妈妈的营养摄入过剩有关。所以准妈妈在怀孕期间,最好合理安排饮食,不要暴饮暴食或盲目进补,以免出现胎儿过大,导致头盆不称,影响分娩。

2、我们都知道,在妊娠期间,随着胎儿体重的增加,准妈妈的盆骨会相应增大,这有利于胎儿入盆。但不少准妈妈由于骨骼的因素,盆骨过小。在孕期之间,可以增加适当的体育锻炼,如爬楼梯,这样有利于盆骨的增大,防止头盆不称。

看了以上小编的介绍,妈妈们都对头盆不称有了相应的了解,小编提醒妈妈们,为了预防宝宝头盆不称,妈妈们平时要多注意锻炼身体。

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