双胎妊娠分娩方式与孕龄对妊娠结局的探讨.docVIP

精品论文 参考文献 双胎妊娠分娩方式与孕龄对妊娠结局的探讨 陈晓妮 (东莞康华医院妇产科 广东东莞 523000) 【摘要】目的：探讨双胎妊娠分娩方式和孕龄对妊娠结局的影响。方法：选择在我院妇产科分娩的双胎妊娠产妇240例为研究对象。通过自制的表格收集产妇的临床资料进行回顾性分析。分析不同的孕龄和新生儿体重、新生儿窒息的关系以及不同胎位和分娩方式与新生儿窒息发生的关系。结果：本组新生儿窒息共计15.83%(76/480)。孕龄28～34周和ge;39周的新生儿，窒息的发生率均显著高于孕龄35～38周的新生儿(均P＜0.05)。第一胎胎位为头位的产妇中，阴道试产成功的新生儿，第一胎和第二胎窒息的发生率均显著高于择期剖宫产的新生儿(3.67%、6.42%vs0.00%、0.92%)，差异具有统计学意义(P＜0.05)。结论：剖宫产可有效降低产后出血的发生率，双胎妊娠产妇适当延长孕龄可有效提高新生儿体重，降低新生儿窒息的发生率，非头位第一胎建议采用剖宫术分娩。 【关键词】双胎妊娠 分娩方式 孕龄 妊娠结局 【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752（2014）19-0076-02 Twin pregnancy childbirth way with gestational age of pregnancy outcomeChen XiaoniDepartment of gynaecology and obstetrics,Hunan province Shuangpai county Hospital of Traditional Chinese Medicine (Hunan Yongzhou 425200) 【Abstract】 Objective:Twin pregnancy childbirth way and gestational age influence on pregnancy outcome.Methods:In twin pregnancy, 240 cases of maternal childbirth obstetrics and gynecology hospital as the research object.Through self-made form collection of maternal clinical data were retrospectively analyzed. analyze the different gestational age and birth weight, the relationship between neonatal asphyxia, and different position and the way of delivery and neonatal asphyxia. Result: This group of neonatal asphyxia in 15.83% (76/480). Gestational age 28～34 weeks and of 39 weeks or a newborn, the incidence of asphyxia were significantly higher than that of 35～38 weeks gestational age neonates (all Plt;0.05). First position as head of the women, the vaginal trial production success of newborns, the incidence of first and second child suffocation were significantly higher than that of elective cesarean section newborn (3.67%, 6.42%vs0.00%, 3.67%), statistically significant difference (Plt;0.05). Conclusion:Cesarean section can effectively reduce the incidence of postpartum hemorrhage, twin pregnancy maternal extend gestational age can effectively improve the newborn we