Objective  To explore the effect of hand rotation midwifery intervention on the delivery outcomes of head dystocia.

  Methods  A total of 150 head dystocia puerperae admitted to our hospital were randomly divided into control group and observation group, with 75 cases in each group. The control group was given routine natural delivery and midwifery care, and the observation group was given free hand rotation midwifery intervention. The second stage of labor time, the amount of bleeding in 2 hours after delivery, the final delivery mode and incidence of mother-infant complications were compared between the two groups.

  Results  The second stage of labor time in the observation group was shorter, and the amount of postpartum hemorrhage was significantly less than that in the control group(P < 0.05). The natural delivery rate was higher in the observation group, and the cesarean section rate was lower than that in the observation group(P < 0.05). There were no significant differences in Apgar score at 5 min and neonatal behavioral neurological Assessment (NBNA) score at 1 week after delivery between the two groups (P>0.05). Apgar score at 1 min in the observation group was higher than that in the control group (P < 0.05). The total incidence of complications of the observation group was lower than that of the control group (P < 0.05).

  Conclusion  Intervention of hand rotation can shorten the time of delivery and reduce the rate of cesarean section as well as the incidence of complications, and improve the outcomes of delivery.