剖宫产指征和母儿预后  

Indications for Cesarean Section and Maternofetal Outcome

作　　者：陈韵仙[1] 冷振凤 牛秀敏[1] 阎玉坤 辛玉英[1] 

机构地区：[1]天津医学院附属医院

出　　处：《天津医药》1990年第3期131-134,共4页Tianjin Medical Journal

摘　　要：本文分析我院1982～1988年间16130例中4465例剖宫产的指征,并对产母和围产儿死亡率、产后出血、胎儿窘迫和新生儿窒息的发生率进行分析。七年内平均剖宫产率为27.68%,呈逐年上升。剖宫产指征中头盆不称占首位,其次为胎儿窘迫,内科合并症和重度妊高征占第三位。在早产儿和低体重儿216例的剖宫产中重度妊高征为首位。本文剖宫产后围产儿死亡率低于其它分娩方式,而产母死亡率、产后出血、新生儿窒息发生无不同。本文认为对重度妊高征和内科合并症在良好的监护下手术是安全的。Four thousand four hundred and sixty five cases of Cesarean section performedin our department during 1982～1988 were analysed.The mean Cesarean sectionrate was 27.68%.The major indications included cephalopelvic disproportion(32.65%),fetal distress(FD,21.88%),maternal diseases(MD)and pregnancy inducedhypertension(PIH,18.90%).Furthermore,the major indications for the 216cases of premature and small-for-date babies were PIH(33.17%),MD(18.98%),and FD(17.13%).Comparing the Cesarean section cases with those delivered by other methods,itcould be found that postpartum hemorrhage,neonatal asphyxia and maternal morta-lity rates showed no significant differences,but the early neonatal death rate waslower in the caesarean section group.It was shown that if the pregnant woman suffered from serious complications,it was necessary to monitor during the antenatal period and select an optimal timefor Cesarean section,which would improve the outcome of both the mother and theneonate.

关 键 词：剖宫产 预后 

分 类 号：R719.807[医药卫生—妇产科学]