双胎妊娠分娩方式的初探

Choice of Route of Delivery on Pregnancy Outcome in Twin Pregnancy

目的:探讨双胎妊娠分娩方式选择的临床应用。方法:将95例双胎妊娠产妇按分娩方式选择的不同,分为阴道产组(n=40)和剖宫产组(n=55),并对其临床资料进行分析。结果:两组产妇的孕周、产后出血率比较,差异无统计学意义(P>0.05),剖宫产组新生儿体重显著高于阴道产组(P<0.05)。两组第1胎新生儿窒息率比较,差异无统计学意义(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对临床疗效有较大的影响。

Objective： To explore the clinical significance of choice of route of delivery on pregnancy outcome in twin pregnancy.Method： 95 twin pregnancy women were divided into two groups,which were cesarean section group（n=55） and vaginal delivery group（n=40）.The clinical data were analyzed retrospectively in the two group cases.Results： The pregnant week and postpartum hemorrhage had no statistical significant difference in two groups（P0.05）;The neonatal weight in cesarean section group was higher than that in vaginal delivery group（P0.05）.No statistical significant difference was shown in neonatal asphyxia of first fetal between the two groups（P0.05）.However,the incidence of neonatal asphyxia of second fetal in cesarean section group is much lower than that in vaginal delivery group（P0.05）.Conclusion： The right route of delivery can lower the incidence of cesarean section and neonatal asphyxia.