785例高危妊娠对分娩方式和新生儿的影响分析

The Analysis of Influence on the Neonate of Different Delivery Manners of 785 Cases with High-risk Pregnancy

目的 :探讨高危妊娠对分娩方式及新生儿的影响。方法 :回顾分析 785例高危妊娠的分娩方式及其新生儿的预后。结果 :高危妊娠因素中以胎膜早破和脐带绕颈为主 ,剖宫产率 76 .0 5 % ,明显高于阴道产(2 3.95 % ) ;剖宫产新生儿窒息率 (3.8% )明显低于阴道助产新生儿 (P<0 .0 5 )。结论 :高危妊娠剖宫产的新生儿窒息率明显低于阴道产 。

Objective: To find out the influence on the neonate and the different delivery manners in high risk pregnancy. Methods: The delivery manners and its influence on the neonate were analyzed retrospectively in 785 cases with high risk pregnancy. Results: Premature rupture of membranes and Cord entanglement were the main factors of high risk pregnancy. In the 785 cases, the rate of cesarean was 76%, which was higher than that of vaginal delivery. The rate of neonate asphyxia of cesarean was 13.8% obviously lower than vaginal delivery(P<0.05). Conclusions: The neonate asphyxia of cesarean is obviously lower than that of vaginal delivery, and cesarean influences the neonate better.