10年间臀位妊娠与围生儿预后分析

PROGNOSTIC ANALYSIS OF BREECH PREGNANCY AND PERINATAL OUTCOME DURING THE TEN YEARS

目的 :探讨 10年间臀位妊娠发生率、分娩方式及围生儿预后的关系。方法 :对 1987～ 1988两年及间隔 10年后的 1997～ 1998两年两阶段单胎臀位住院分娩病例进行回顾性分析。结果 :臀位妊娠发生率升高 ,剖宫产率升高 ,而围生儿死亡率无明显变化 ,但新生儿窒息率降低。结论 :提高臀位妊娠剖宫产率并非是降低围生儿死亡率的唯一手段 ,应加强臀位妊娠期保健 ,防止臀位妊娠并发症的发生。选择合适分娩方式 ,避免采取胎臀牵引术分娩。

Objective:To investigate the incidence of breech pregnancy,the relation between the methods of delivery and perinatal outcome during the ten years.Methods:Retrospective analysis of the hospital cases which deliveries were singleton breech pregnancy during the 1987～1988 and during 1997～1998 was engaged.Results:The incidence of breech pregnancy is increased.The perinatal mortality has not markedly change.But the neonatal asphyxia is reduced.Conclusion:Improving cesarean section is not the only way to reduce perinatal mortality.We should pay attention to manage pregnancy,prevent complication from happening,choose proper methods of delivery and avoid extraction of breech.