经试管辅助生育技术孕妇与正常孕妇经阴道分娩的结局探究  

Study on the outcome of vaginal delivery between pregnant women with IVF assisted fertility technology and normal pregnant women

作　　者：张莉 Zhang Li(Delivery Room,Changzhou Maternal and Child Health Care Hospital,Changzhou 213000,China)

机构地区：[1]常州市妇幼保健院产房,江苏常州213000

出　　处：《实用妇科内分泌电子杂志》2022年第22期20-22,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究经试管辅助生育技术孕妇与正常孕妇经阴道分娩的结局。方法选取200例行辅助生育技术孕妇设为试管婴儿孕妇组;另选取200例正常孕妇设为正常孕妇组。两组在分娩过程中均采用一体化护理配合,比较两组缩宫素使用剂量、产程时间、产后出血量及新生儿指标。结果试管婴儿孕妇组缩宫素使用剂量大于正常孕妇组,产后出血量多于正常孕妇组,差异有统计学意义(P<0.05)。试管婴儿孕妇组第一产程、第二产程、第三产程及总产程均长于正常孕妇组,差异有统计学意义(P<0.05)。试管婴儿孕妇组新生儿pH、氧分压(PaO_(2))、剩余碱(BE)指标及2 h血氧饱和度均低于正常孕妇组,二氧化碳分压(PaCO_(2))指标高于正常孕妇组,差异有统计学意义(P<0.05)。结论经试管辅助生育技术孕妇自然分娩中缩宫素的使用剂量较大,产程时间长,孕妇产后出血量较多,同时新生儿指标相对较差。Objective To explore the outcome of vaginal delivery between pregnant women with IVF assisted fertility technology and normal pregnant women.Methods 200 pregnant women with assisted fertility technology were selected as IVF pregnant women group.Another 200 normal pregnant women were selected as normal pregnant women group.The two groups were treated with integrated nursing during labor.The dosage of oxytocin,labor time,postpartum blood loss and neonatal indexes were compared between the two groups.Results The dose of oxytocin in IVF pregnant women group was higher than that in normal pregnant women group,and postpartum blood loss was higher than that in normal pregnant women group,the difference was statistically significant(P<0.05).The first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the IVF pregnant women group were longer than those in the normal pregnant women group,the difference was statistically significant(P<0.05).The indexes of pH,partial oxygen pressure(PaO_(2)),residual alkali(BE)and 2 h oxygen saturation of newborn in IVF pregnant women group were lower than those in normal pregnant women group,and the indexes of partial carbon dioxide pressure(PaCO_(2))were higher than those in normal pregnant women group,the difference was statistically significant(P<0.05).Conclusion The use of oxytocin in the natural delivery of pregnant women through the tube assisted fertility technology is larger,the labor time is longer,the amount of postpartum bleeding,and the newborn index is relatively poor.

关 键 词：辅助生育技术 试管婴儿 正常受孕 阴道分娩 新生儿指标 

分 类 号：R714.8[医药卫生—妇产科学]