703例水中分娩对新生儿窒息的影响分析  

Analysis on Impact of Underwater Birth to Neonatal Asphyxia 703 Cases

作　　者：肖兵[1] 陈晓琴[1] 蒋庆源[1] 高岩[1] 熊庆[1] 

机构地区：[1]四川省妇幼保健院,四川成都610045

出　　处：《实用妇产科杂志》2013年第8期609-612,共4页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:了解水中分娩是否会增加新生儿窒息的风险。方法:纳入从2012年4月至2013年3月在四川省妇幼保健院水中分娩的703例产妇(其中水中待产153例,水中生产550例)作为研究组,同期常规分娩无妊娠合并症、并发症足月单胎头位产妇658例作为对照组。比较研究组和对照组间新生儿窒息及严重呼吸并发症的发生情况。结果:研究组703例水中分娩共有13例发生新生儿窒息,发生率为1.8%(13/703),其中水中待产组有5例(3.3%,5/153),根据Apgar评分有1例为重度窒息,其余均为轻度窒息;水中生产组有8例(1.5%,8/550)新生儿窒息,均为轻度。对照组658例常规分娩发生新生儿窒息的有6例,均为轻度,发生率为0.9%。研究组新生儿窒息发生率高于对照组,但差异无统计学意义(P>0.05)。水中待产组新生儿窒息发生率高于水中生产组,但差异也无统计学意义(P>0.05)。水中待产组1例重度窒息使用了经鼻持续气道正压通气(NCPAP),水中生产组有2例窒息新生儿发生严重的胎粪吸入综合征,使用呼吸机辅助通气。结论:水中分娩可能会增加新生儿窒息的发生率,但本研究差异无统计学意义,尚需扩大样本进一步研究。Objective：To investigate whether underwater birth would increase the risk of neonatal asphyxi- a and severe respiratory complication. Methods： From April 2012 to March 2013,703 pregnant women had given birth underwater in Sichuan Provincial Hospital for Women ＆ Children. Among them 153 cases were underwater labor,550 cases were underwater delivery. 658 cases normally delivered during the same period enrolled in as control group. The morbidity of neonatal asphyxia and severe respiratory complication were compared between the underwater and normal birth groups. Results：There were 13 neonatal asphyxia cases in underwater birth group,the morbidity was 1.8% （13/703）. There were 5 cases in underwater labor sub- group,the morbidity of neonatal asphyxia was 3. 3% （5/153） ,and 8 cases in underwater delivery subgroup, the morbidity of neonatal asphyxia was 1.5% （8/550）. In control group,there were 6 neonatal asphyxia ca- ses ,the morbidity of neonatal asphyxia was 0.9%. All of the neonatal asphyxia cases were mild ones accord- ing the Apgar score except for 1 case in underwater labor subgroup who need nasal continuous positive air-way pressure （NCPAP）. But 2 cases in underwater delivery subgroup whose Apgar score were 6 at I minute after birth were complicated with severe meconium aspiration syndrome. Mechanic ventilation was used in these 2 cases. Conclusions：Underwater birth may increase the morbidity of neonatal asphyxia; underwater delivery may increase risk of neonatal severe respiratory complication.

关 键 词：水中分娩 新生儿窒息 呼吸并发症 

分 类 号：R714.3[医药卫生—妇产科学]