低出生体质量儿适宜的分娩方式及适时终止妊娠的时机研究分析  

Low birth weight children appropriate mode of delivery and timing analysis and timely termination of pregnancy

作　　者：殷红岩 郭蕊[1] 李婷[1] 刘明明[2] YIN Hong-yan GUO Rui LI Ting LIU Ming-ming(Hubei Shiyan Taihe Hospital （Affiliated Hospital of Hubei Medical College） Obstetric Shiyan, Hubei 442000 Shiyan People＇ s Hospital Obstetrics, 442000)

机构地区：[1]湖北十堰市太和医院(湖北医药学院附属医院)产科,湖北十堰442000 [2]湖北省十堰市人民医院产科,442000

出　　处：《中国优生与遗传杂志》2016年第11期79-81,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨低出生体质量(LBW)儿适宜的分娩方式及适时终止妊娠的时机。方法选取自2010年1月到2015年1月于我院分娩的6244例新生儿作为研究对象,通过孕产妇管理系统获得相关病史资料,统计低出生体重儿的发生情况、分娩方式和终止妊娠的时机。结果统计结果显示低出生质量儿的发生率为7.43%(464/6244),其中早产低出生体质量儿占全部早产儿的60.56%(344/568),足月低出生体质量儿占全部足月儿的2.11%(120/5676),两者比较有统计学差异(P﹤0.05);低出生体质量儿的刨宫产的比率要高于正常体重儿的比率(P﹤0.05)。在低出生体质量儿中的新生儿窒息率和新生儿死亡率上,阴道分娩者比刨宫产分娩者明显低;但是随着孕周的增加低出生体质量儿的新生儿窒息率和死亡率会逐渐降低。结论为了减少低出生体质量儿的发生,对于有早产迹象的胎儿和孕妇,应积极为其做个体化分析,尽可能延长其孕周至34w之后再行终止妊娠;根据孕妇和胎儿的具体情况制定合理的分娩方式可以显著提高新生儿的存活率。Objective：To investigate the low birth body mass（LBW）is suitable for the timing of the mode of delivery and timely termination of pregnancy. Methods：From January 2010 to January 2015 in our hospital as the research object,6244 cases of newborn by maternal management system get the history data,statistics the cause of low birth weight,and the timing of the termination of pregnancy,childbirth way. Results：The results suggest that the incidence of low birth quality was 7.43%（464/6244）,including preterm low birth body mass,60.56%（344/568）of all preterm births,term low birth body mass,2.11%（120/5676）of all full term,both are statistically significant（P 〈0.05）;Low birth body mass of the ratio of plane palace to produce is higher than that of normal weight ratio（P 〈0.05）.In low birth body mass and the rate of neonatal asphyxia and neonatal mortality,vaginal delivery is significantly lower than those plane palace production delivery;But with the increase of gestational low birth body mass of neonatal asphyxia rate and mortality rate will gradually decreased. Conclusion：To reduce the incidence of low birth body quality,for a fetus and pregnant women with preterm labor,should actively for the analysis of the individual,as far as possible to prolong the again after 34 weeks＇ gestation weeks to termination of pregnancy;According to the specific circumstances of pregnant women and fetal reasonable way of delivery can significantly increase the survival rate of newborn.

关 键 词：低体质量儿 分娩方式 终止妊娠 

分 类 号：R714[医药卫生—妇产科学]