第二产程剖宫产对母婴的影响

The Second Stage of Labor Cesarean Section on Maternal and Child

目的分析第二产程剖宫产对母婴的影响,减少母婴并发症。方法随机抽取我院2009年1月至2011年1月头位急诊剖宫产191例,其中第一产程阻滞100例(组1),第二产程阻滞91例(组2),主要从手术指征、手术并发症及新生儿状况等方面进行回顾性分析、评价。结果组2胎位不正、羊水污染及术后并发症均高于组1,新生儿Apgar评分亦低于组1(P<0.05)。结论第二产程剖宫产与第一产程剖宫产相比,母婴潜在不利因素增加,其并发症的发生与第二产程的廷长相关,故应撑握时机尽量减少第二产程剖宫产,以减少母婴并发症。

Objective Study the influence of cesarean section in the second stage of labor on mother and infant, and reduce maternal and neonatal complications. Methods Randomly select 191 cases of emergent cesarean section in the head position between 2010, January to 2011, December in our hospital, among which there are 100 cases of block in the first stage of labor （control group）, and 91 cases of block in the second stage of labor （observation group）. Compare two groups＇ operative indications, correlative factors of cesarean section,operative complications, and conditions of the newborn, and conduct a retrospective analysis and evaluation. Results Tthe incidences of abnormal fetal position,macrosomia, polluted amniotic fluid,postoperative complications and low Apgar score of the newborn are higher than those of the control group （P〈0.05）. Conclusion Cesarean section in the second stage of labor presents more risks to mother and infant than the emergent cesarean section in the head position, whose incidence of complications are connected with the delay of the second stage of labor. Therefore appropriate time should be seized to reduce cesarean section in the second stage of labor and maternal and neonatal complications.