ObjectiveTo investigate the application effects of free position combined with freehand rotation of fetal head in the second stage of labor in the cross-occipital and retrooccipital pregnant women, and its effects on maternal and infant outcomes.

MethodsOne hundred puerpera with single birth were divided into the control group(50 cases) and observation group(50 cases) by random number table method.The free posture delivery in the control group were adopted throughout the second labor process, and the free posture combined with freehand rotation of fetal head in the observation group were adopted during the second labor process.The differences of the second labor process, 2 h postpartum blood loss, translocation success rate, delivery mode, maternal and infant complications were compared between two groups.

ResultsCompared with the control group, the duration of the second stage of labor was shortened, and the postpartum 2 h blood loss decreased in the observation group, and the difference of which between two groups was statistically significant(P < 0.01).The rate of vaginal delivery in observation group was higher than that in control group(P < 0.05), but there was no statistical significance in the success rate of translocation between two groups(P>0.05).The differences of the total incidence rates of postpartum hemorrhage, cervical laceration, neonatal distress and asphyxia were not statistically significant between two groups(P>0.05).

ConclusionsThe free positon combined with freehand rotation of fetal head in the application of the second stage of labor can corret the transverse and posterior occipital positions, help to shorten the labor time and improve the rate of vaginal delivery.