6024例分娩的方式选择与新生儿结局

The safety to neonate by vaginal delivery and uterine-incision delivery in 6024 cases

目的探讨阴道分娩和剖宫产对新生儿的风险。方法对6024例妊娠的分娩方式、剖宫产指征以及新生儿结局回顾性分析。结果剖宫产率为35.3%,其指征主要是头盆不称、社会因素、宫内窘迫、臀位等。分娩新生儿6016例,其中因各种疾患转儿科822例,占13.5%。主要转科原因为早产儿低体重、窒息、高胆红素血症和吸入综合症,各疾病发病率与分娩方式无关。结论剖宫产没有增加新生儿的风险,仍是解决难产的重要手段,但应严格控制手术指征。

Objective： To discuss the safety to neonate by vaginal delivery and uterine - incision delivery. Methods： The methods of childbearing, indications to uterine - incision delivery and results of newborn in 6024 pregnancy in our department were studied retrospectively. Results： 35.3% were delivered by uterine- incision due to cephalopelvicdisproportion, intrauterine asphyxia, breech delivery. To total of 6016 neonates, 822 cases （ 13, 5% ） were transfered to pediatrics owing to low - weight, asphyxia, hyperblil- irublnemla and aspiration syndrome of newborn. Conclusion： We recommend uterine - incision delivery as safe and effective to treat dystocia, and there is no extra risks to newborns. But surgical indications should considered and controlled strictly.