不同臀位分娩方式的选择对母婴影响的临床分析

Clinical analysis on the effects of different breech delivery modes on mothers and infants

目的:观察不同臀位分娩方式对母婴的临床影响,探讨提高母婴身心健康的臀位分娩方式。方法:按照不同的分娩方式将532例单胎臀位分娩产妇分为阴道分娩组和剖宫产分娩组,比较两组产妇并发症、新生儿并发症及新生儿产后Ap-gar评分情况。结果:剖宫产组的产妇并发症、新生儿并发症及新生儿产后Apgar评分情况好于阴道分娩组,差异有统计学意义(P<0.01,P<0.05)。结论:做好孕期保健,及时发现胎位异常并矫正胎位;臀位分娩时宜适当放宽剖宫产手术指征,分娩方式以择期剖宫产为主,可改善母婴预后。

Objective：To observe the clinical effects of different breech delivery modes on mothers and infants,explore a breech delivery mode to improve the physical and psychological health of mothers and infants.Methods：532 parturient women of single pregnancy and breech presentation were divided into vaginal delivery group and cesarean section delivery group according to different delivery modes,the complications of parturient women and neonates,the Apgar scoring situations of neonates in the two groups were compared.Results：The incidences of complications of parturient women and neonates,the value of Apgar scoring of neonates in cesarean section delivery group were significantly higher than those in vaginal delivery group（P0.01,P0.05）.Conclusion：The measures of improving the prognosis of mothers and infants include enhancing health care during pregnancy,finding and correcting abnormal fetal position,relaxing the surgical indications of cesarean section and choosing elective cesarean section mainly for the cases with breech presentation.