未正式临产入院对低危产妇分娩结局的影响  

Impact of early admission in labor on the pregnancy outcome

作　　者：郑彤云[1] 彭检妹 陈兰卿[1] 刘丽[1] 

机构地区：[1]广东医学院附属深圳市福田区人民医院妇产科,广东深圳518033 [2]深圳市福田区妇幼保健院妇产科,广东深圳518026

出　　处：《海南医学》2012年第15期79-80,共2页Hainan Medical Journal

摘　　要：目的探讨产妇未正式临产入院对分娩结局的影响。方法采用回顾性队列研究方法 ,对本院低危初产妇(200例)按入院时临产情况分为未临产入院组和临产入院组各100例,比较两组的分娩方式、总产程时间、产后出血程度、新生儿窒息率及全院费用。结果与临产入院组比较,未临产入院组剖宫产率明显高于临产入院组(P<0.05)。未临产入院组产程时间延长,产后出血程度、新生儿窒息率、住院费用均增加,两组比较差异均有统计学意义(均P<0.05)。结论对未正式临产入院的孕妇进行过多的医疗干预可增加剖宫产率。Objective To investigate the effect of the timing of admission in labor ward on the pregnancy outcome. Methods A retrospective cohort study was conducted. A total of 200 low risk pregnant women in labor spontaneously were recruited according the signs of labor which were divided into the ＂false＂ labor group （n=100） and ＂true＂ labor group （n=100）. The delivery modality, total time of labor, postpartum hemorrhage, the rate of neona- tal saphyxia and hospital expenses was compared between the two groups. Results Compared to the ＂true＂ labor group, the ＂false＂ labor group had higher incidence of uterine-incision delivery, longer birth process, more postpartum hemorrhage, higher incidence of neonatal asphyxia and more hospital expenses, all with statistically significant differ- ences between the two groups （P〈0.05）. Conclusion Early admission may increase unnecessary intrapartum inter- ventions and result in increased incidence of cesarean delivery.

关 键 词：低危产妇 临产 入院 剖宫产 

分 类 号：R714.3[医药卫生—妇产科学]