80例足月羊水偏少孕妇阴道试产可行性分析

The feasibility analysis of vaginal pregnant in 80 cases of full-term pregnant women with less amniotic fluid than normal

目的分析探讨足月羊水偏少孕妇阴道试产的可行性。方法收集80例足月妊娠羊水偏少孕妇作为研究组,并设选择80例足月妊娠羊水正常孕妇为对照组,比较两组孕妇产前产时监护情况、最终分娩方式、胎儿情况及新生儿预后情况。结果研究组孕妇产时出现变异减速(VD)情况明显多于对照组(P<0.05),而产前产时孕妇晚期减速(LD)情况及产前VD情况比较,差异均无统计学意义(P>0.05);研究组剖宫产率为28.75%,明显高于对照组的15.00%(P<0.05);研究组胎儿羊水轻度粪染情况明显多于对照组(P<0.05),而两组羊水中、重度粪染情况及胎儿窘迫情况比较,差异均无统计学意义(P>0.05);研究组新生儿Apgar评分<7分者明显多于对照组(P<0.05),而两组Apgar评分<4分者及新生儿体重比较,差异均无统计学意义(P>0.05)。结论足月羊水偏少孕妇在严密监护下阴道试产具有可行性。

Objective To analyze the feasibility of vaginal pregnant in full-term pregnant women with less amniotie fluid than normal. Methods 80 cases of full-term pregnant women with less amniotic fluid than normal were selected as study group, and 80 cases of full-term pregnant women with normal amniotic fluid were selected as control group. The prenatal and intrapartum monitoring situation, final mode of delivery, fetal and neonatal prognosis were compared between the two groups. Results The VD appearing of study group obviously was more than that of control group （P 〈 0.05）, LD in the pre- natal and intrapartum , LD appearing in prenatal had no significant differences between the two groups （P 〉 0.05）; the ce- sarean section rate in the study group （28.75%） was higher than that of the control group （15.00%） （P 〈 0.05）; fetal amniotic fluid mild meconium-stained in the study group was more than the control group （P 〈 0.05）; the＇re was no significant dif- ference of amniotic fluid mediate and severe meconium-stained between the two groups （P 〉 0.05）; less than 7 points of Apgar score in the study group was more than that of the control group （P 〈 0.05）; and less than 4 points of Apgar score in the two groups and birth weight had no significant differences between the two groups （P 〉 0.05）. Conclusion In the intensive care, the vaginal pregnant in full-term pregnant women with less amniotic fluid than normal is feasible.