第二产程剖宫产对母婴的影响及对策

The countermeasures and effects on maternal and neonates in the second phase cesarean delivery

目的:了解第二产程剖宫产对母婴的影响。方法:我院行第二产程剖宫产的患者42例作为观察组,随机选择同期行第一产程剖宫产的患者111例作为对照组,比较两组患者剖宫产相关因素以及手术并发症发生率。结果:观察组羊水Ⅲ度污染的患者占19.05%,与对照组的6.31%比较,P<0.05,结果有统计学差异;观察组枕前位占16.67%,枕横位占45.24%,与对照组的36.04%和27.03%比较,P<0.05,结果有统计学差异;观察组出现出血和胎儿娩出困难的患者分别占23.81%和9.52%,与对照组的8.11%和0.90%比较,P<0.05,有统计学差异;观察组的术后病率和新生儿窒息分别占到14.29%和16.67%,与对照组的2.70%和3.60%比较,P<0.05,结果有统计学差异。结论:第二产程剖宫产增加了母婴发病率,应尽量避免第二产程剖宫产,减少第二产程剖宫产率。

Objective Learn theeffects on maternal and neonates in the second phase cesarean delivery. Methods 42 cases of the second phase cesarean delivery patients in our hospital as the observation group, randomly selected 111 cases of the same period in line the first phase cesarean delivery patients as the control group, compare two groups of patients the incidence of cesarean delivery -related factors and complications. Results Amniotic fluid Ⅲ contamination of patients in observation group accounted for 19.05 percent, compared with 6.31% of the control group （P〈0.05）, the results have a statistical difference;Observer Group of the anterior accounted for 16.67%, occipital transverse position accounted for 45.24%,compared with 36.04% and 27.03% of the control group （P〈0.05）, the results have a statistical difference;The observation group of bleeding and the fetus difficult patients accounted for 23.81% and 9.52%,compared with 8.11% and 0.90% of the control group（P〈0.05）, the results have a statistical difference;Observation group, postoperative morbidity and neonatal asphyxia accounted for 14.29% and 16.67%, compared with 2.70% and 3.60% of the control group （P〈0.05）, the results are statistically different. Conclusion The second phase cesarean delivery increased maternal and infant morbidity, and the second phase cesarean delivery should be avoided to reduce the rate of the second phase cesarean delivery.