双胎妊娠分娩方式与妊娠结局120例临床分析  

Impact of delivery on pregnancy outcome in twin pregnancy

作　　者：何建风[1] 王彩霞[1] 

机构地区：[1]广东医学院附属西乡人民医院,广东深圳518102

出　　处：《海南医学》2011年第12期114-116,共3页Hainan Medical Journal

摘　　要：目的探讨双胎妊娠的不同分娩方式对妊娠结局的影响。方法对2008-2010年于我院分娩的120例双胎妊娠资料进行回顾性分析,其中剖宫产76例,阴道产44例。结果孕周<34周的新生儿窒息率、病死率显著高于孕周>34周者,两者差异有统计学意义(P<0.01);阴道分娩组第2胎窒息率、死亡率显著高于第1胎,且与剖宫产组比较差异亦有统计学意义(P<0.01);两组孕周、产后出血差异无统计学意义(P>0.05)。结论与阴道产相比,双胎妊娠剖宫产可减少新生儿窒息率及死亡率。Objective To explore the influence of delivery route on pregnancy outcome in twin pregnancy.Methods The date of 120 cases of twin pregnancy from 2008 to 2010 were retrospectively analyzed,among which 76 cases performed cesarean section and 44 underwent vaginal delivery.Results The rate of neonatal asphyxia and case fatality at 34 weeks of gestation were significantly higher than that of 34 weeks of gestation,with statistical meaning（P0.01）;the rate of neonatal asphyxia and case fatality of second fetal were higher than that of first fetal,and had significantly difference with cesarean section cases（P0.01）;the weeks of gestation and postpartum hemorrhage had no striking difference between the two groups.Conclusion Compared with vaginal delivery,cesarean section for twin pregnancy can decrease the rate of neonatal asphyxia and case fatality.

关 键 词：双胎妊娠 分娩方式 妊娠结局 

分 类 号：R714.3[医药卫生—妇产科学]