不同分娩方式对孕产妇分娩结局及新生儿影响.doc

不同分娩方式对孕产妇分娩结局及新生儿影响[摘要] 目的：探讨不同分娩方式对孕产妇分娩结局及新生儿的影响，为临床合理选择分娩方式提供借鉴。方法：将856例孕产妇按照分娩方式分为自然阴道分娩组290例、剖宫产组285例和择期引产组281例，观察并比较三组产时、产后并发症、住院天数及新生儿Apgar评分。结果：自然阴道分娩组、剖宫产组及择期引产组产时及产后总的并发症发生率差异有统计学意义（分别为9.66%、2.11%、14.95%，P0.05）。剖宫产组及择期引产组住院天数较自然阴道分娩组长[分别为（6.9±2.3）d、（6.7±2.1）d、（4.6±0.7）d，P0.05）。结论：剖宫产可减少分娩并发症，相对安全，但可增加产妇住院时间；择期引产可增加输血率及产后出血率，并使切口延缓愈合。因此，在无不适宜分娩的合并症及剖宫产的手术指征时，应鼓励孕产妇自然分娩。 [关键词] 分娩方式；分娩结局；新生儿 [中图分类号] R714[文献标识码]Ａ [文章编号]1673-7210（2011）04（a）-041-03 Effect of different routes of delivery on the maternal outcomes and newborns RAN Aidong1, RAN Liping2 1.The People′s Hospital of Hechi City, Guangxi Zhuang Autonomous Region, Hechi547000, China; 2.Maternity and Child Health Hospital of Fengshan County in Hechi City, Guangxi Zhuang Autonomous Region, Fengshan 547600, China [Abstract] Objective: To explore the effect of different routes of delivery on the maternal outcomes and newborns, and provide basis for selecting reasonable route of delivery in clinic. Methods: A total of 856 cases of parturients were divided into three groups according to the route of delivery, spontaneous vaginal delivery (SVD) group (290 cases), cesarean section (CS) group (285 cases) and elective induction (EI) group (281 cases), the complication during and after delivery, hospital days and newborns Apgar score of the three groups were observed and compared. Results: The total incidence of complications during and after delivery of SVD group, CS group and EI group showed significant difference (9.66%, 2.11%, 14.95% respectively, P0.05). The hospital days of CS group and EI group were longer than those of SVD group [(6.9±2.3) d, (6.7±2.1) d, (4.6±0.7) d respectively, P0.05). Conclusion: Cesarean section can decrease delivery-related complications and is a safe route of delivery, but it can increase the hospital days; elective induction can increase the blood transfusion rate and postpartum hemorrhage rate, and delay the healing of incision. Therefore, parturients should be enc