足月妊娠干预性计划分娩与剖宫产率相关性分析

Correlation analysis of full-term pregnancy intervention planned delivery and cesarean section rate

目的探讨对妊娠37～41周孕妇进行干预性计划分娩的临床结局。方法收集我院2007年12月～2010年12月间分娩的妊娠37～41周初产妇、单胎头位、宫颈评分≤7分、无任何产科并发症的产妇共计718例,进行静滴缩宫素者为干预性计划分娩组即治疗组398例,对照组320例,对两组的妊娠结局、母婴情况进行统计学分析。结果治疗组诱发的宫缩剖宫产率明显高于对照组自然发动宫缩组。结论对妊娠37～41周的孕产妇应在加强监护的基础上等待自然分娩,避免过早人为干预以降低剖宫产率。

Objective To research the clinical outcome which is about 37 to 41 weeks pregnant women carrying on planning parturition of intervention. Methods From December 2007 to December 2010, Collecting 37 to 41 weeks primiparae, single, cervical score ≤ 7 points, without any obstetric complications in total 718 cases of intravenous uterine contraction in intervention group that planned delivery in 398 cases in the treatment group, 320 cases in the control group, on the two groups of pregnancy outcomes, maternal and child for statistics analysis. Results The treatment group induced uterine cesarean section rate was significantly higher than the control group the natural start uterine group. Conclusion Pregnancy 37 to 41 weeks pregnant women should strengthen monitoring based on waiting for natural childbirth, avoiding premature hu- man intervention to reduce the rate of cesarean section.