围生期干预对胎儿窘迫孕妇分娩方式及围生儿预后的影响

Influence on delivery mode of pregnant women with fetal distress and neonatus prognosis by perinatal intervention

目的探讨围生期干预对胎儿窘迫孕妇分娩方式及围生儿预后的影响。方法选择120例宫内胎儿窘迫的待产孕妇为研究对象,随机分为观察组和对照组,每组各60例。对照组给予常规基础医疗处置和护理,观察组对待产孕妇及新生儿给予系统性干预,比较两组分娩方式、孕产妇及围生儿情况。结果两组孕妇均顺利经阴道分娩或剖宫产,观察组经阴道分娩率和剖宫产率分别为68.33%、31.67%,对照组分别为46.67%、53.33%;观察组与对照组新生儿Apgar评分分别为(9.2±0.5)、(8.0±0.9)分,观察组胎儿羊水污染、新生儿窒息、缺血缺氧性脑病等围生期负性事件发生率均低于对照组,差异具有统计学意义(P<0.05或P<0.01)。结论对宫内胎儿窘迫的待产孕妇及新生儿给予系统性干预是非常必要的,可显著降低剖宫产率和围生期母婴不良事件的发生率,对保障待产孕妇及新生儿的安全,乃至优生优育都具有重要的意义。

Objective To explore the influence on delivery mode of pregnant women with fetal distress and neonatus prognosis by perinatal intervention.Methods 120 cases of pregnant women with fetal distress were selected as research objects,and were randomly divided into observation group and control group,60 cases were in each group.Pregnant women and neonatus in control group were given conventional medical treatment and nursing,and those in observation group were given systemic intervention,and delivery mode,maternal and perinatal conditions of two groups were compared.Results Pregnant women in two groups both successfully finished vaginal delivery or cesarean section.Rate of vaginal delivery and cesarean section in observation group were 68.33% and 31.67% respectively,and those in control group were 46.67% and 53.33%.Neonatal Apgar scores in observation group and control group were（9.2±0.5） and（8.0 ±0.9） scores,respectively.Fetal amniotic fluid contamination,neonatal asphyxia,hypoxic ischemic encephalopathy and other perinatal negative event rates in observation group were all lower than those of control group,and there were statistical differences between all above indicators（P〈0.05 or P〈0.01）.Conclusion It is very necessary to give systemic intervention to pregnant women with intrauterine fetal distress,and it reduces cesarean section rates and perinatal adverse event rates,so it has important significance on protecting safety of pregnant women and newborn,and even on bearing and rearing children with better.