双胎妊娠的分娩方式与妊娠结局233例临床分析  

Mode of delivery and pregnancy outcome in 233 cases of twin pregnancy

作　　者：李新[1] 崔蓉[1] 

机构地区：[1]安徽省淮北市人民医院妇产科,淮北235000

出　　处：《临床医学》2011年第6期21-22,共2页Clinical 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2010年12月淮北市人民医院233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比较差异无统计学意义,孕周及新生儿体质量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组新生儿尤为显著,两胎儿分娩出生时间间隔>15 m in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 mode and pregnancy outcome in twin pregnancy.Methods Two hundred and thirty-three twin pregnancy women from Jan.1997 to Dec.2010 in our hospital were divided into two groups,which were cesarean section group and vaginal delivery group.The clinical datas were analyzed retrospectively.Results There was no difference in postpartum hemorrhage of two groups.Pregnant week and neonatal weight of cesarean section group were higher than that of vagingal detivery group.And the incidence of neonatal asphyxia in vaginal delivery group was much higher than that in cesarean section group,and the highest of neonatal asphyxia of second fetal in vaginal delivery group.Conclusion The right mode of delivery can decrease the incidence of cesarean section and neonatal asphyxia.

关 键 词：双胎妊娠 阴道分娩 剖宫产 

分 类 号：R719.8[医药卫生—妇产科学] R714.3[医药卫生—临床医学]