本文对217例初产妇临产时胎头浮动进行临床分析。发生原因中以头位异常及大胎儿占首位,初产妇临产时胎位浮动,分娩期母婴合并症增多,为分娩中异常情况,应予以重视。处理原则:除明显的头盆不称行选择性剖宫产外,多数应予试产,本组有半数以上病例试产成功。人工破膜可加速产程进展,可做为处理胎头浮动方法之一。 In this paper, 217 cases of primiparous labor during fetal head floating clinical analysis. The causes of head anomalies and large fetuses in the first place, primiparous floating fetus during labor, maternal and child complications during childbirth increased, abnormal delivery should be taken seriously. Treatment principles: In addition to obvious cupping elective cesarean section, the majority should be trial production, more than half of the patients in this group trial success. Artificial rupture of membranes can accelerate the progress of labor, as one of the ways to deal with fetal head floating.