剖宫产与阴道助产在足月妊娠临产胎儿窘迫的母婴结局影响分析

The influence of cesarean section and vaginal delivery at term pregnancy fetal distress in labor on maternal and neonatal outcomes

目的：分析比较剖宫产与阴道助产两种分娩方式在足月妊娠临产时发生胎儿窘迫情况对母婴结局的影响。方法选取238例临产时出现胎儿宫内窘迫的足月妊娠孕妇作为研究对象，按数字表法随机分为观察组和对照组各119例。其中，对照组采用阴道助产术分娩，观察组采用剖宫产术，比较两组母婴结局。结果观察组新生儿评分7分以上78例（65．55％），对照组7分以上58例（48．74％），两组差异有统计学意义（P＜0．05）。观察组新生儿并发症发生率（5．88％）明显低于对照组（20．16％）（P＜0．05）。结论在足月妊娠临产发生胎儿窘迫时，采用剖宫产术相较于阴道助产术新生儿评分高，且新生儿并发症发生率低，值得在临床中推广应用。

Objective To analyze the influence of the cesarean section and vaginal delivery at term pregnancy when fetal distress in labor conditions on maternal and neonatal outcomes .Methods 238 cases of fetal distress in labor when full-term pregnant were selected ,and they were randomly divided into the observation group and control group,119 cases in each group .The control group was given midwifery vaginal delivery ,while the observation group was given cesarean section .The maternal and neonatal outcomes were compared between the two groups . Results 78 cases（65.55%） of neonatal score above 7 or more points and 7 or more points of the control group were 58 cases（48.74%）,the difference was significant （P〈0.05）.The incidence rate of neonatal complications in the observation group was 5.88%, which was significantly lower than 20.16% of the control group （ P 〈0.05 ）. Conclusion Fetal distress in full-term pregnancy in labor , the use of cesarean section has higher neonatal score compared with vaginal delivery ,and it has low incidence rate of neonatal complications ,it is worth to be applied in clinical.