剖宫产术对足月妊娠临产胎儿宫内窘迫孕妇分娩结局的影响  

Effect of Cesarean Section on the Outcome of Fetal Distress in Utero During Full-term Pregnancy

作　　者：李晓华 LI Xiaohua(Department of Obstetrics and Gynecology,The Sixth People's Hospital of Shangqiu,Shangqiu Henan 476000,China)

机构地区：[1]商丘市第六人民医院妇产科,河南商丘476000

出　　处：《临床研究》2023年第4期80-83,共4页Clinical Research

摘　　要：目的 探讨剖宫产术对足月妊娠临产胎儿宫内窘迫孕妇分娩结局的影响。方法 选取商丘市第六人民医院2021年6月至2022年6月收治的90例足月妊娠临产胎儿宫内窘迫孕妇,按手术方式分为剖宫产组和阴道助产组,各45例。剖宫产组采用剖宫产术,阴道助产组采用阴道助产术。比较两组产妇发生胎儿窘迫的影响因素、新生儿窒息发生率、产妇宫口开大情况、新生儿并发症发生率及不良母婴结局发生率。结果 剖宫产组胎膜早破、脐带缠绕率(15.56%、8.89%)低于阴道助产组(35.56%、26.67%),差异有统计学意义(P<0.05);羊水粪染(26.67%)、过期妊娠率(28.89%)高于阴道助产组(8.89%、11.11%),差异有统计学意义(P<0.05)。剖宫产组新生儿窒息、新生儿并发症、不良母婴结局发生率低于阴道助产组,差异有统计学意义(P<0.05);产妇宫口开大处于潜伏期率高于阴道助产组,活跃期加速和减速阶段率低于阴道助产组,差异有统计学意义(P<0.05)。结论 剖宫产术可改善新生儿窒息情况,降低并发症发生率,安全性更高,母婴预后效果更好。Objective To investigate the effect of cesarean section on the delivery outcome of full-term pregnant women with fetal distress.Methods A total of 90 pregnant women with fetal distress in utero during full-term pregnancy admitted to our hospital from June 2021 to June 2022 were selected and divided into a cesarean section group and vaginal midwifery group,45 cases each.Cesarean section was performed in the cesarean section group and vaginal delivery was performed in the vaginal delivery group.The influencing factors of fetal distress,the incidence of neonatal asphyxia,dilation of the uterine orifice,incidence of neonatal complications,and incidence of adverse maternal and infant outcomes were compared between the two groups.Results The rates of premature rupture of membranes and umbilical cord entangling in the cesarean section group(15.56%,8.89%)were lower than those in the vaginal midwives group(35.56%,26.67%),and the differences were statistically significant(P<0.05).The rate of fecal amniotic fluid staining(26.67%)and overdue pregnancy(28.89%)was higher than that of the vaginal midwifery group(8.89%and 11.11%),and the difference was statistically significant(P<0.05).The incidence of neonatal asphyxia,neonatal complications,and adverse maternal and infant outcomes in the cesarean section group was lower than that in the vaginal midwifery group,and the difference was statistically significant(P<0.05).The rate of cervical dilatation in the latent period was higher than that in the vaginal delivery group,and the rate of acceleration and deceleration in the active period was lower than that in the vaginal delivery group,and the difference was statistically significant(P<0.05).Conclusion Cesarean section can improve neonatal asphyxia,and reduce the incidence of complications,with higher safety and better maternal and infant prognosis.

关 键 词：宫内窘迫 足月妊娠 剖宫产术 阴道助产术 母婴结局 

分 类 号：R719.8[医药卫生—妇产科学]