羊水污染孕产妇不同分娩方式新生儿结局分析  

Analyzing the result of new born infants delivered through various modes under different meconium-contaminated anmiotic fluid condition

作　　者：杨大平[1] 罗岩[1] 周云[1] 

机构地区：[1]宿州市立医院妇产科,234000

出　　处：《安徽医学》2009年第5期555-557,共3页Anhui Medical Journal

摘　　要：目的根据不同程度羊水污染的孕产妇分娩后新生儿窒息等情况,以选择合理的分娩方式。方法对妊娠37周以后单胎头位羊水污染孕产妇304例进行新生儿窒息等情况进行回顾性分析。结果羊水Ⅰ度污染新生儿窒息率为8.91%,Ⅱ度为23.53%,Ⅲ度为47.52%,羊水Ⅰ度污染阴道分娩和剖宫产新生儿窒息率差异无统计学意义(P>0.05),Ⅱ度、Ⅲ度羊水污染两种分娩方式差异有统计学意义(P<0.05),另外,羊水污染程度与二种或二种以上原因有关。结论正确处理Ⅱ度、Ⅲ度羊水污染,及时选择剖宫产是改善新生儿结局的关键。Objective To select the rational delivery mode according to the occurrence of asphyxia neonatorum under different meconium - contaminated amniotic fluid condition. Methods To retrospect the occurrence of asphyxia neonatorum under different meconium - contaminated amniotic fluid condition in 304 single pregnant women of more than 37 gestational weeks with normal fetal position. Results The rate of asphyxia neonatorum of pregnant women with meconium - contaminated amniotic fluid of degree I was 8.91%. The rate of asphyxia neonatorum of pregnant women with meconium - contaminated amniotic fluid of degree II was 23.53%. And the rate of asphyxia neonatorum of pregnant women with meconium - contaminated amniofic fluid, of degree III was 47.52%. Conclusion To treat the pregnant women with meconium - contaminated amniotic fluid of degree II and In correctly and to select the optimum time to perform cesarean was the key to improve the result of the new born infants.

关 键 词：羊水污染 新生儿窒息 分娩方式 

分 类 号：R714.7[医药卫生—妇产科学]