摘要
目的 探讨羊水胎粪污染的产科处理时机与方法。方法 对1998年1月至1998年12月在我院分娩的、产程中羊水为Ⅱ~Ⅲ度污染的220例初产妇的母婴结局进行回顾性分析,其中破膜时羊水粪染(Ⅰ组)有120例,产程中羊水由清亮变为污染(Ⅱ组)有100例;另随机选择同期产程中羊水清亮的210例产妇为对照组。结果 1254例产妇中,羊水胎粪污染的发生率为17.5%;粪染组在母体合并症、胎心监护异常发生率、剖宫产率及新生儿窒息率上均高于对照组(P<0.01);Ⅱ组在胎心监护异常及新生儿窒息的发生率上高于羊水粪染Ⅰ组(P<0.01)。结论 重视羊水粪染的临床处理。在伴发母体合并症、胎心监护异常及产程中羊水由清亮变为粪染时处理需积极,以及早剖宫产及缩短第二产程为宜。在无上述情况下,可在严密监护下阴道分娩。
Objective To investigate the obstetric management opportunity and methods on meconium- stained amniotic fluid.Methods 220 pregnant women with meconium- stained amniotic fluid were divided into two groups, Meconium -stained amniotic fluid at rupture of membrane as group I , and clear amniotic fluid gradually becoming meconium - stained during labor as group Ⅱ , and were compared with 210 cases of normal amniotic fluid as control group. Results The incidence of meconium- stained amniotic fluid was 17.5% in 1 254 deliveries. Maternal complication, abnormal fetal monitoring, cesarean section rate and neonatal asphyxia were higher than those of the control group respectively. Compared with group Ⅱ , abnormal fetal monitoring and neonatal asphyxia were significatedly lower in group I (P < 0.01) .Conclusions More attention should be paid to the pregnant women with meconium- stained amniotic fluid, especially with maternal complication, abnormal fetal monitoring and amniotic fluid from clear turned to meconium - stained during labor. Cesarean section and shortened second stage of labor should be taken in time. Vaginal delivery could be adopted on the basis of closely monitoring without abnormal situations.
出处
《中国妇产科临床杂志》
2001年第3期138-140,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
羊水胎粪污染
处理
窒息
Meconium-stamed amniotic fluid
Treatment
Asphyxia