第二产程胎心异常时分娩时机的选择对母婴的影响研究  

The Impact of the Timing of Delivery on the Mother and Baby during the Second Stage of Labor with Abnormal Fetal Heart Rate

作　　者：余露花 Yu Luhua(Panzhou People’s Hospital,Panzhou,Guizhou 553537)

机构地区：[1]盘州市人民医院,贵州盘州553537

出　　处：《科技与健康》2023年第24期111-113,共3页Technology and Health

摘　　要：分析第二产程出现胎心异常时正确选择分娩时机对母婴的影响。随机抽取2019年2月—2020年2月收治的6000例待产产妇为研究对象,均进行第二产程的胎心监护,其中胎心异常的产妇1000例,将产妇分为两组,分别为比照组和研究组,比较两组产妇第二产程异常胎心率类型、分娩方式、第二产程时间、两组新生儿Apgar评分,母婴产伤情况。结果显示,两组早期减速、变异减速无明显差异(P>0.05);研究组晚期减速类型(持续性/散发性)占比低于比照组,组间数据差异存在统计学意义(P<0.05);研究组顺产率高于比照组,胎吸+产钳、剖宫产率低于比照组,研究组第二产程时间短于比照组,组间数据差异存在统计学意义(P<0.05);两组新生儿Apgar评分比较无明显差异,不具备统计学意义(P>0.05);研究组产伤情况优于比照组,组间数据差异存在统计学意义(P<0.05)。研究发现,当产妇处于第二产程时,应当进行全面的观察,确认胎心异常的情况,判定异常,再选择正确的分娩方式,以免对母婴造成损伤。Analyze the impact of choosing the right delivery timing on the mother and baby when fetal heart rate abnormalities occur during the second stage of labor.Randomly select 6000 expectant mothers who were admitted from February 2019 to February 2020 as the study subjects,all of whom underwent fetal heart rate monitoring during the second stage of labor.Among them,1000 mothers with abnormal fetal heart rate were divided into two groups,namely the control group and the study group.Compare the types of abnormal fetal heart rate during the second stage of labor,delivery methods,time of second stage of labor,Apgar scores of newborns in both groups,and maternal and infant injuries.The results showed that there was no significant difference in early deceleration and variant deceleration between the two groups(P>0.05);The proportion of late deceleration types(persistent/sporadic)in the study group was lower than that in the control group,and there was a statistically significant difference in data between the groups(P<0.05);The study group had a higher rate of vaginal delivery than the control group,while the rates of suction,forceps,and cesarean section were lower than the control group.The second stage of labor in the study group was shorter than that in the control group,and there was a statistically significant difference in data between the groups(P<0.05);There was no significant difference in Apgar scores between the two groups of newborns,and there was no statistically significant difference(P>0.05);The study group had better obstetric injuries than the control group,and there was a statistically significant difference in data between the groups(P<0.05).Research has found that when a parturient is in the second stage of labor,comprehensive observation should be conducted to confirm fetal heart rate abnormalities,determine abnormalities,and then choose the correct delivery method to avoid damage to the mother and baby.

关 键 词：第二产程 胎心异常 分娩时机 母婴 

分 类 号：R714.4[医药卫生—妇产科学]