第二产程剖宫产并发症分析

Analysis on Cesarean Section Complications in the Second Stage of Labor

目的了解第二产程剖宫产对母婴的影响。方法我院2009年1月至2012年9月第二产程剖宫产206例(观察组),同期随机第一产程剖宫产术206例(对照组)。结果第二产程组的并发症发生率为71.3%,较对照组高,差异有统计学意义(P<0.01)。其中产后出血发生率最高(21.8%),其次为子宫收缩乏力(15.5%),子宫切口裂伤(13.6%)差异有统计学意义(P<0.01)。新生儿窒息(9.2%),娩头困难(7.3%),术后感染率(3.9%)差异有统计学意义(P<0.05)。结论第二产程剖宫产增加母婴并发症发生率,应尽量避免第二产程剖宫产。

Objective To study the effect of cesarean section in the second stage of labor on mother and infant. Methods The 206 cases of cesarean section in the second stage of labor in our hospital from January 2009 to September 2012 were the Observation group. Meanwhile, 206 cases of cesarean section in the first stage of labor were randomly selected as the control group . Results The complication incidence of the observation group is 71. 3%,which is higher than the control group, and the difference is statistically significant （P〈0. 01）. Among which the highest incidence is postpartum hemorrhage（21. 8%）. The next is uterine atony with an incidence of 15. 5% and uterine incision laceration with an incidence of 13. 6%, the difference is statistically significant（P〈0. 01）. There are also statistically significant differences （P〈0. 05） in neonatal asphyxia （9. 2%）, parturition head difficulties （7. 3%） and postoperative infection rates （3. 9%）. Conclusion Cesarean section in the second stage of labor will increase the incidence of maternal and neonatal complications so we should try to avoid cesarean section at the second stage of labor.