不同分娩方式对羊水过少围产儿的影响

The Influeuce of Different Childbirth Way to Perinatal Baby With Oligohydrammios

目的探讨妊娠晚期羊水过少时不同分娩方式对围产儿的影响及改善围产儿预后。方法采用回顾分析法将156例妊娠晚期羊水过少的孕妇分为选择性剖宫产组82例,急诊剖宫产组56例及阴道分娩组18例,比较分析3组胎儿窘迫、新生儿窒息、胎粪吸入综合征的发生率的差异。结果选择性剖宫产组胎儿窘迫、新生儿窒息、胎粪吸入综合征的发生率明显低于急诊剖宫产组及阴道分娩组(P<0.05)。结论加强对羊水过少的产前及产时监护,结合胎心监护(NST)及宫颈评分,选择最佳分娩方式,可以明显改善围产儿预后。

Objective To discuss the influence of different childbirth way to perinatal baby with oligohydrammios at the late period of pregnancy and improve its prognosis. Methods Retrospective analytic method was used to divide 156 cases with oligohydrammios at the late period of pregnancy into selective cesarean section group （ 82 cases ）, emergency cesarean section group （ 56 eases ） and vaginal delivery group （ 18 eases ）. The different rate of fetal distress, asphyxia neonatorum and meconium aspiration amony three groups were eompared and analyzed. Results The rate of fetal distress,asphyxia neonatorurn and meeonium aspiration in selective cesarean section group was significantly lower than in emergency cesarean section group and vaginal delivery group （ P 〈 0.05 ）. Conclusions Close monitor to oligohydramrnios of ante partum and intrapartum, combined with NST and grading of cervix uteri to select the best childbirth way can improve the prognosis of perinatal baby remarkably.