不同孕周早产产妇不同分娩方式对母婴结局的影响  

Effects of the different delivery modes of pregnant women with premature delivery during different gestational weeks on the maternal and infant outcomes

作　　者：朱苹苹 郑建琼 胡艳君 徐晓敏 林乐静 ZHU Pingping;ZHENG Jianqiong;HU Yanjun;XU Xiaomin;LIN Lejing(Wenzhou People's Hos pital of Zhejiang Province,Wenzhou Maternal and Child Health Care Hospital,Wenzhou,Zhejiang Province,325000;Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Zhejiang Province)

机构地区：[1]浙江省温州市人民医院,温州市妇幼保健院,325000 [2]浙江省温州市中西医结合医院

出　　处：《中国计划生育学杂志》2025年第2期454-458,共5页Chinese Journal of Family Planning

基　　金：温州市科技局项目(2021Y0336)。

摘　　要：目的:分析不同孕周早产剖宫产及阴道分娩对母婴结局的影响。方法:回顾性收集2019年1月-2021年12月本院分娩的孕周28周~36^(+6)周的早产孕妇300例临床资料,将分娩孕周分层后随机抽取剖宫产组50例与阴道分娩组50例。比较不同分娩方式母婴结局差异。结果:分娩孕周为孕28~31^(+6)周、孕32~33^(+6)周、孕34~36^(+6)孕妇的新生儿NRDS发生率、妊娠期合并症及并发症数≥3项、早产儿并发症数≥2项占比依次降低,新生儿出生体重依次升高(均P<0.05)。孕34~36^(+6)周分娩的新生儿死亡率低于孕28~31^(+6)周(P<0.05);孕28~31^(+6)周、孕34~36^(+6)周分娩的孕妇,剖宫产组与阴道分娩组年龄、体质指数(BMI)、产次≥2次占比、妊娠期合并症及并发症情况、产后出血发生率、新生儿出生体重、新生儿死亡发生率、新生儿呼吸窘迫综合征(NRDS)发生率、早产儿并发症发生等均无差异(P>0.05);孕32~33^(+6)周分娩的孕妇,剖宫产组与阴道分娩组年龄、BMI、产次≥2次占比、妊娠期合并症及并发症、新生儿出生体重、新生儿死亡发生率均无差异(P>0.05),剖宫产组新生儿NRDS发生率、早产儿并发症数目≥2项占比低于阴道分娩组(P<0.05)。结论:不同孕周早产孕产妇,剖宫产与阴道分娩对母婴结局影响不尽相同,对孕32~33^(+6)周分娩者时行剖宫产可能会降低新生儿并发症发生风险。Objective: To analyze the effects of the cesarean section or the vaginal delivery of pregnant women with the premature delivery during different gestational weeks on the maternal and infant outcomes. Methods: The clinical data of 300 pregnant women with the premature delivery during the gestational weeks of 28 weeks to 36^(+6) weeks in the hospital from January 2019 to December 2021 were analyzed retrospectively. Among the women with the premature delivery during the different gestational weeks, 50 cases with cesarean section were selected in group A and 50 cases with vaginal delivery were selected in group B randomly. The difference of the maternal and infant outcomes was compared between the women with cesarean section and the women with vaginal delivery. Results: The incidences of the neonatal respiratory distress syndrome(NRDS) and the complications during pregnancy, and the proportions of the number of complications ≥3 and the number of preterm neonatal complications ≥2 of the women delivered during 28-31~(+6) gestational weeks, of the women delivered during 32-33^(+6) gestational weeks and of the women delivered during 34-36^(+6) gestational weeks had decreased gradually, and the neonatal birth weight of these women had increased gradually(all P<0.05). The neonatal mortality rate of the women delivered during 34-36^(+6) gestational weeks was significantly lower than that of the women delivered during 28-31~(+6) gestational weeks(P<0.05). Among the women delivered during 28-31^(+6) and 34-36^(+6) gestational weeks,there were no significant differences in the age,the body mass index(BMI),the proportion of parity≥2times,the incidences of the complications during pregnancy and postpartum hemorrhage,the neonatal birth weight,and the incidences of the neonatal death,NRDS and complications the women between group A and group B(P>0.05).For the pregnant women who delivered during 32-33^(+6) gestational weeks,there were no significant differences in the age,the BMI,the proportion of parity ≥2times,the pregnan

关 键 词：早产 不同孕周 剖宫产 阴道分娩 母婴结局 

分 类 号：R714.21[医药卫生—妇产科学]