双胎妊娠分娩方式对妊娠结局的影响  

Study on the Route of Delivery and Pregnancy Outcome in Twin Pregnancy

作　　者：陈志梅[1] 

机构地区：[1]深圳市妇幼保健院妇产科,深圳518017

出　　处：《中国医药导刊》2013年第7期1132-1132,1134,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨双胎妊娠的分娩方式与妊娠结局之间的关系。方法:将我院273例双胎妊娠产妇按分娩方式的不同分为阴道分娩组(29例)及剖宫产组(224例),回顾性分析两组临床资料,对比两组妊娠结局。结果:剖宫产组224例,阴道分娩组29例;两组产后出血量无明显差异,P>0.05;剖宫产组平均分娩孕周大于阴道分娩组,新生儿出生平均体重显著高于阴道分娩组,P<0.05;两组第1胎儿新生儿窒息率比较差异无显著性,P>0.05,第二胎儿剖宫产组新生儿窒息率显著低于阴道分娩组,P<0.05。结论:剖宫产是目前临床上双胎妊娠主要的分娩方式,剖宫产可显著降低双胎妊娠第二胎儿新生儿窒息率。Objective：To explore the mode of delivery in twin pregnancy and the relationship between pregnancy outcome.Methods：In 273 cases of twin pregnancy maternal according to mode of delivery are divided into the vaginal delivery group（n=29） and the cesarean section group（n=224）,a retrospective analysis of clinical data in the two groups,two groups of pregnancy outcome summary.Results：273 cases of maternal vaginal delivery in 29 cases（10.62%）,cesarean section in 224 cases（82.05%）;the mode of delivery and gestational weeks postpartum hemorrhage rate,no significant relationship,P＆gt;0.05;cesarean section pregnancy week than vaginal delivery group,the average weight of newborns were significantly higher than those in the vaginal delivery group,P＆lt;0.05;two groups of first fetal neonatal asphyxia rate comparison no significant difference,P＆gt;0.05,whereas the second tire has a significant,P＆lt;0.05.Conclusion：Cesarean section is the main mode of delivery of twin pregnancy and can reduced the.second fetal neonatal asphyxia rate.

关 键 词：双胎妊娠 剖宫产 第二胎儿新生儿窒息率 

分 类 号：R714.432[医药卫生—妇产科学] R722.12[医药卫生—临床医学]