新产程阴道试产中转剖宫产原因及母婴结局分析  

Analysis of Caesarean Section Causes and Maternal and Infant Outcomes in Transfer to Cesarean Section of Vaginal Trial in New Course of Labor

作　　者：钟小燕 崔建玲 杨东群 ZHONG Xiaoyan;CUI Jianling;YANG Dongqun(The First Maternal and Child Care Service Centre of Huizhou City,Huizhou 516000,China;不详)

机构地区：[1]广东省惠州市第一妇幼保健院,广东惠州516000

出　　处：《中国医学创新》2020年第14期143-146,共4页Medical Innovation of China

基　　金：2018年度惠州市医疗卫生类科技计划项目(2018Y048)。

摘　　要：目的:探讨新产程阴道试产中转剖宫产的原因及母婴结局。方法:选取2018年3-7月本院阴道试产中转剖宫产妇120例作为研究对象,其中按新产程标准处理中转剖宫产产妇60例作为研究组,按旧产程标准处理中转剖宫产产妇60例作为对照组。统计分析两种产程下阴道试产中转剖宫产指征,比较两组产妇分娩并发症及新生儿结局。结果:研究组相对头盆不称、产程时限异常、胎儿宫内窘迫和社会因素比例均明显低于对照组,而研究组头位胎方位异常比例高于对照组,差异均有统计学意义(P<0.05);研究组产后出血较对照组多,差异有统计学意义(P<0.05),两组产褥感染、产后尿潴留、新生儿肺炎相比,差异均无统计学意义(P>0.05)。结论:新产程阴道试产中转剖宫产指征中,相对头盆不称、产程时限异常、胎儿宫内窘迫和社会因素较旧产程进一步下降,而头位胎方位异常有上升的趋势,临床上可根据原因提出相应的解决策略,对进一步降低剖宫产率提供临床指导具有重要意义。Objective:To explore the caesarean section causes and maternal and infant outcomes in transfer to cesarean section of vaginal trial in new course of labor.Method:From March to July 2018,120 cases of transfer to cesarean section of vaginal trial women in our hospital were selected as the research objects,60 cases of cesarean section women were treated according to the new labor process standard as the research group,and 60 cases of cesarean section women were treated according to the old labor process standard as the control group.The indications of vaginal trial to cesarean section were statistical analyzed.The pregnancy complications and neonatal outcomes of two groups were compared.Result:The proportion of relative cephalopelvic disproportion,abnormal duration of labor,intrauterine fetal distress and social factors in the study group were significantly lower than those in the control group,but the proportion of cephalopexy and fetal orientation in the study group was higher than that in the control group,there were statistical significance (P<0.05).The postpartum hemorrhage in the study group was higher than that in the control group,the difference was statistically significant (P<0.05),there were no significant differences between two groups in neonatal pneumonia,puerperal infection and postpartum urinary retention (P>0.05).Conclusion:In the new stage of vaginal trial to cesarean section,the relative cephalopelvic disproportion,abnormal time limit of labor,fetal distress in utero and social factors are further decreased compared with the old stage of labor,while the abnormality of cephalic position and fetal orientation is rise,we can put forward corresponding solutions according to the causes,which is of great significance to further reduce the rate of cesarean section.

关 键 词：新产程阴道试产 中转剖宫产 母婴结局 

分 类 号：R719.8[医药卫生—妇产科学]