双胎分娩方式与妊娠结局124例临床分析

Clinical analysis on delivery modes and pregnancy outcome of twin pregnancy in 124 cases

目的:研究双胎妊娠分娩方式与妊娠结局的关系。方法:将该院2008年1月～2013年5月间阴道分娩的62例双胎产妇与同时期行剖宫产术的62例双胎作比较,对其临床资料进行回顾性分析。结果:剖宫产组孕周、新生儿体重显著大于阴道分娩组,差异有统计学意义(P<0.05),产后出血率也显著高于阴道分娩组,差异有统计学意义(P<0.05)。新生儿窒息率比较:剖宫产组总窒息率明显低于阴道分娩组,差异有统计学意义(P<0.05),其中头-头位两组比较差异无统计学意义(P>0.05),而当其中一胎非头位时,剖宫产组的窒息率明显低于阴道分娩组,差异有统计学意义(P<0.05)。结论:双胎妊娠分娩风险高,选择合理的分娩方式,可减少产后出血和新生儿窒息发生率,在一定程度上降低母儿风险。

Objective： To research the relationship between delivery modes and pregnancy outcome of twin pregnancy. Methods： Sixty - two parturient women of twin pregnancy adopting vaginal delivery in the hospital from January 2008 to May 2013 and sixty - two partu- rient women adopting cesarean section during the same period were compared, and their clinical data were analyzed retrospectively. Results： The gestationa] week and neonatal weight in cesarean section group were statistically significantly higher than those in vaginal delivery group （ P 〈 0. 05 ）, the rate of postpartum hemorrhage in cesarean section group was statistically significantly higher than that in vaginal delivery group （P 〈 0. 05 ） ; the comparison of rate of neonatal asphyxia： the total rate of neonatal asphyxia in cesarean section group was statistically significantly lower than that in vaginal delivery group （P 〈 0. 05 ）, but there was no statistically significant difference in the rate of head - head position between the two groups （P 〉 0. 05 ）, but when one fetus of the twin was not head position, the rate of neonatal asphyxia in ce- sarean section group was statistically significantly lower than that in vaginal delivery group （P 〈 0. 05） . Conclusion： The risk of twin preg- nancy is high, choosing reasonable delivery modes can reduce the rates of postpartum hemorrhage and neonatal asphyxia and maternal - in- fantile risks to a certain extent.