未临产与自然发作临产剖宫产产妇患病率的对照研究  

Maternal Morbidity Associated with Cesarean Delivery without Labor Compared with Spontaneous Onset of Labor at Term.

作　　者：王晓银[1] 董江华[1] 阳宇波 刘敬涛[1] 赵清平[1] 

机构地区：[1]四川省妇幼保健院

出　　处：《临床医药实践》2009年第8Z期1915-1918,共4页Proceeding of Clinical Medicine

摘　　要：目的:比较临产与未临产足月孕剖宫产手术对产妇的影响。方法:选择128例单胎足月妊娠且无严重妊娠合并症和并发症的初产妇,其中未临产组81例,临产组47例。观察术中术后出血量、手术前后血红蛋白含量、手术时间、术后胃肠功能恢复时间、术后发热和其它手术并发症发生情况。结果:两组产时产后出血量、手术时间无统计学意义(P】0.05)。两组术后血红蛋白含量均较术前下降,但两组间手术前后血红蛋白含量差比较无统计学意义(P=0.20)。手术开始至胎儿取出时间、术后肛门排气时间及发热率无统计学意义。研究过程中,两种手术方式都没有发生严重的手术并发症,亦无产后出血病例发生。结论:剖宫产是解决难产的手段,临产后行剖宫产并不会增加产妇产后患病率。医生在生产前应根据产妇的具体情况,选择更好的分娩方式。Objective:To estimate the maternal morbidity associated with cesarean deliveries performed at term without labor compared with morbidity associated with spontaneous labor. Methods:A 128 pregnancy women compared maternal outcomes in nulliparous women at term undergoing spontaneous labor for planned vaginal delivery with singleton,cephalic presentation and nulliparous women delivering by cesarean without labor.81 cases were cesarean deliveries without labor,and 47 cases were cesarean deliveries planed vaginal delivery.To compare loss of blood,changes in haemoglobin concentration,duration of oper ation,gastrointestinal function recovery,as well as postoperative maternal morbidity.Results:From128 pregnancy women,which satisfied inclusion and exclusion criteria.There is no difference in operationg and early postpartum hemorrhage,duration of operatio n,gastrointestinal function recovery.(P>0.05) Haemoglobin concentration dropped in both groups after caesarean section,but no difference was observed between the two groups.(P=0.20)Therewere no maternal deaths,postpartum hemorrhage and severe surgery syndrome in this study.It were less likely to spend more time to take out the fetus in women undergoing cesarean deliveries without labor,compared with women entering spontaneous labor(P <0.05).Conclusion:Elective cesarean delivery does not increase maternal morbidity compared with spontaneous onset of labor.Obstetricians should either plan cesarean delivery or define stringent rules for indications of cesarean during labor.

关 键 词：剖宫产 临产 产妇患病率 产后出血 

分 类 号：R719.8[医药卫生—妇产科学]