双胎妊娠的分娩方式与妊娠结局150例  

Route of delivery and pregnancy outcome in 150 cases of twin pregnancy

作　　者：李蕙琴[1] 

机构地区：[1]安徽省淮北市人民医院妇产科,淮北235000

出　　处：《中国实用医刊》2008年第14期40-41,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨双胎妊娠分娩方式与妊娠结局的关系。方法将1997年1月至2006年12月，150例双胎妊娠妇女按分娩方式分为阴道分娩组及剖宫产组，对其临床资料进行回顾性分析。结果两组产后出血率差异无统计学意义，孕周及新生儿体重，剖宫产组显著高于阴道分娩组，新生儿窒息发生率，阴道分娩组显著高于剖宫产组，尤以阴道分娩组第2胎新生儿尤为显著，两胎儿分娩出生时间间隔〉15min者新生儿窒息发生率高。结论正确选择双胎妊娠的分娩方式，将有助于降低新生儿窒息发生率。Objective To study the relationship between delivery rout and pregnancy outcome in twin pregnancy. Methods 150 twin pregnancy women were divided into two groups, which were cesarean section and vaginal delivery from January 1998 to December 2005. Their data were analyzed retrospectively. Results There was no difference in postpartum hemorrhage of two groups in pregnant week and neonatal. Weight of cesarean section was higher than that of vagingal detivery the incidence of neonatal asphyxia in vaginal delivery was much bighter than in cesarean section that the hightest of neonatal asphyxia of second fetal in vaginal delivery. Conclusion The right route of delivery can lower the incidence of secarean section and neonatal asphyxia.

关 键 词：双胎妊娠 阴道分娩 剖宫产 

分 类 号：R714.7[医药卫生—妇产科学]