经产妇产时干预结果分析  

Analysis of outcomes of intrapartum interference during delivery in multiparous women

作　　者：陈炳兰[1] 孙丽洲[1] 

机构地区：[1]南京医科大学第一附属医院妇产科,210036

出　　处：《江苏医药》2010年第19期2277-2278,共2页Jiangsu Medical Journal

摘　　要：目的探讨产时干预对经产妇分娩结局的影响。方法回顾分析我院分娩并符合条件的经产妇738例,按有无临产及缩宫素使用情况分自然临产组(A组,601例),引产组(B组,76例)、催产组(C组,61例),分析三组产妇第一产程、软产道裂伤、剖宫产、产后出血及新生儿出生评分方面的差异。结果与A组比较,B、C组第一产程缩短,急产率、软产道裂伤率、剖宫产率、产后出血发生率增加(P<0.05)。A、B、C组轻度窒息儿的发生率分别为6.0%、6.6%及3.3%(P>0.05)。结论对正常妊娠胎儿宫内状态良好的经产妇应尽量减少产时干预。Objective To analyze the outcomes of intrapartum interference during delivery in multiparous women.Methods Data of 738 cases with low-risk multiparous women were analyzed retrospectively.According to laboring and oxytocin use,the patients were divided into 3 groups. Group A（601 cases） was spontaneous onset of labor,group B（76 cases） was given oxytocin inducing contraction,and group C（61 cases） was given oxytocin enhancing contraction.The differences in first phase of labor,cervical laccration,Cesarean section and postpartum hemorrhage rate were compared among three groups.Results Compared to group A,first phase of labor was shorter,the rates of ergent laboring,cervical laccration,Cesarean section and postpartum hemorrhage were higher in groups of B and C（P0.05）.Conclusion Intrapartum interference should be taken as less as possible in normal multiparous pregnant women with normal state of fetal.

关 键 词：经产妇 产时处理 

分 类 号：R737[医药卫生—肿瘤]