摘要
目的:探讨活跃期羊水Ⅱ～Ⅲ度粪染者剖宫产与阴道分娩的母婴结局。方法:对2011年1月至12月在我院产科分娩、进入活跃期后羊水Ⅱ～Ⅲ度粪染的产妇共175例采用不同分娩方式(阴道分娩组100例、剖宫产组75例)的妊娠结局进行回顾性分析。结果:新生儿窒息率、吸入性肺炎、胎盘粘连及产妇产后发热两组比较差异无统计学意义(P>0.05),阴道分娩产钳助产率为6%。剖宫产组产后出血者多于阴道分娩组,差异有统计学意义(P<0.05)。结论:羊水Ⅱ～Ⅲ度粪染而胎心正常者,经阴道分娩不影响母儿结局,选择剖宫产会增加产后出血率。
Objective： To investigate maternal and neonatal outcomes of cesarean section and vaginal delivery when the amniotic fluid is of active phase Ⅱ-Ⅲ degree of meconium staining.Methods： One hundred and seventy-five women with amniotic fluid Ⅱ-Ⅲ degree of pollution（75 cases of cesarean section group,100 cases of vaginal delivery group） were analyzed retrospectively.Results： No significant difference of neonatal asphyxia,aspiration pneumonia,placenta accreta and postpartum fever were found（P 0.05）.Forceps delivery rate was 6% in vaginal deliveries.Caesarean section postpartum hemorrhage was greater than the vaginal delivery group,the difference was significant（P 0.05）.Conclusion： For those with amniotic fluid of Ⅱ-Ⅲ degree fecal contamination and normal fetal heart rate,vaginal delivery does not affect the outcome of the mother and the child.Cesarean section increases in the rate of postpartum hemorrhage.
出处
《现代医学》
2013年第7期477-479,共3页
Modern Medical Journal
关键词
活跃期
羊水粪染
剖宫产
阴道分娩
active phase
meconium staining amniotic fluid
cesarean section
vaginal delivery.
