8例多胎妊娠延迟间隔分娩的母婴结局分析  

Maternal and Neonatal Outcomes of Delayed-Interval Delivery in Multiple Pregnancy

作　　者：钟柳英[1] 宋天蓉[1] 何玉甜[1] 苏春宏[1] 杨洁[1] 陈敦金[1] 

机构地区：[1]广州医科大学附属第三医院广州重症孕产妇救治中心广东省产科重大疾病重点实验室,广东广州510150

出　　处：《实用妇产科杂志》2015年第8期587-590,共4页Journal of Practical Obstetrics and Gynecology

摘　　要：目的：探讨多胎妊娠延迟间隔分娩的围生期管理及母婴结局。方法：对我院2007-2012年收治的8例延迟间隔分娩的患者进行回顾性分析,统计其分娩间隔时间、分娩孕周、产科处理及母婴结局。结果：8例均为初产妇,三胎妊娠3例,双胎妊娠5例。延迟间隔分娩第1胎分娩平均孕周为21＋2周,最后一胎延迟间隔分娩平均时限为17.27天（3小时至60天）,分娩平均孕周为23＋2周,胎儿平均体重为593.33 g。共获3例活婴：延迟间隔分娩时间分别为42天、60天和1天,分娩孕周26＋1周、33＋4周和30＋5周,胎儿出生体重865 g、1600 g和1430 g。所有患者均使用抗生素、宫缩抑制剂治疗,未行宫颈环扎术。发生宫内感染4例、胎盘早剥1例、胎膜早破3例、产时宫缩乏力2例及产后出血1例。结论：当多胎妊娠20周后娩出一个胎儿,使用抗生素加宫缩抑制剂治疗,延迟间隔分娩可为其余胎儿（胚胎）延长孕周,提供生存机会,从而有效改善新生儿的存活、降低死亡率。Objective： To investigate management of delayed-interval delivery in multiple pregnancy and maternal and neonatal outcomes. Methods： A retrospective analysis of 8 delayed-interval delivery patients in the Third affiliated hospital of Guangzhou Medical University from 2007 to 2012： analyze the interval delivery,gestational age,clinical treatments,maternal and neonatal outcomes. Results： 8 patients were primipara,triplet pregnancy 3 cases,twin pregnancies 5 cases; the average gestational age births before delay-interval delivery was 21＋2weeks,the average delayed-interval period is 17. 27d（ range 3 h-60 d）. The average gestational age of delayed-interval delivery is 23＋2weeks,average fetal weight is 593. 33 g. Live birth 3 cases： their delayed-interval delivery period is respectively 42、60 and 1 days,at 26＋1,33＋4and 30＋5weeks gestation,fetal weight is 865,1600 and 1430 g. All patients were using antibiotics,tocolytic treatment,no cervical cerclage. Intrauterine infection occurred in 4 cases,placental abruption 1 cases,premature rupture of membranes 3 cases,uterine inertia intrapartum 2 cases and postpartum hemorrhage 1 case. Conclusions： When one fetus was born at more than 20 weeks in multiple pregnancy,contractions inhibitor treatment with antibiotics,delay-interval delivery can be extended by gestational age for the rest of the fetus（ es）,thus neonatal survival could be effectively improved and reduce mortality.

关 键 词：多胎妊娠 延迟间隔分娩 母婴结局 

分 类 号：R714[医药卫生—妇产科学]