106例双胎妊娠的分娩方式与妊娠结局探讨

Study on the Route of Delivery and Pregnancy Outcome in 106 twin Pregnancy Cases

目的:探讨双胎妊娠的分娩方式与妊娠结局的关系。方法:将2000年1月至2004年12月106例双胎妊娠产妇按分娩方式分阴道产及剖宫产两组,对其临床资料进行回顾性分析。结果:两组的孕周、产后出血率无显著差异(P>0.05),剖宫产组新生儿体重显著高于阴道产组(P<0.01),两组第1胎新生儿窒息率无显著差异(P>0.05),而第2胎新生儿窒息率剖宫产组显著低于阴道产组(P<0.05)。结论:双胎妊娠分娩方式的正确选择,有助于降低剖宫产率及新生儿窒息率。

Objective： To study the relationship between delivery route and pregnancy outcome in twin pregnancy. Method： 106 twin pregnancy women were divided into two groups, which were cesarean section and vaginal delivery. They were analyzed retrospectively. Results： There was no difference in pregnant week and postpartum hemorrhage of two groups （ P 〉 0. 05 ） ; neonatal weight of cesarean section was higher than that of vaginal delivery（ P 〈0.01 ）. No significant difference was shown in neonatal asphyxia of first fetal in the two groups （ P 〉 0. 05 ）, however the incidence of neonatal asphyxia of second fetal in cesarean section is much lower than that in vaginal delivery （ P 〈 0.05 ）. Conclusion： The right route of delivery can lower the incidence of cesarean section and neonatal asphyxia.