足月妊娠临产胎儿窘迫中分娩方式对母婴结局影响的探讨

Effect for Parturient Fetal Distress in Term Pregnancy by Delivery Mode on Pregnancy Outcome

目的:探讨足月妊娠临产胎儿窘迫中胎儿分娩方式对母婴结局的影响。方法:足月妊娠临产胎儿窘迫病例131例,按胎儿生产方式分为2组,对照组62例,平均年龄(26.94±3.17)岁,平均孕期(39.37±3.94)周,采用阴道助产术;观察组69例,平均年龄(27.53±2.88)岁,平均孕期(39.61±4.02)周,采用剖宫产。观察产妇及新生儿可能导致胎儿窘迫的因素,评估新生儿的Apger评分、窒息、肺炎及死亡等发生率。结果:观察组脐带原因影响胎儿窘迫的发生率、新生儿窒息和头颅血肿或损伤发生率明显低于对照组,P<0.05;两组胎膜早破、羊水过少和产程延长、肺炎、其他并发症和死亡、新生儿症状改善等结果比较差异无统计学意义(P>0.05)。结论:采用合适的胎儿生产方式可减少足月妊娠临产胎儿窘迫中新生儿窒息、围产儿死亡率。

Objective： To investigate the inlfuence of pregnancy parturient fetal distress in ful-term fetal delivery mode on maternal and neonatal outcomes.Methods： 131 cases of fetal distress in labor of full-term pregnancy, according to fetal production methods are divided into 2 groups, 62 cases in the control group, the average age of （26.94±3.17） years old, mean gestational age （39.37±3.94） weeks, using vaginal delivery; 69 cases in observation group, the average age of （27.53±2.88） years old, average pregnancy （39.61±4.02） weeks, by cesarean section. Observation on Parturients and newborns may cause factors of fetal distress, neonatal Apger score evaluation, asphyxia, pneumonia and death incidence.Results：In the observation group, the umbilical cord reasons inlfuencing the incidence of fetal distress, neonatal asphyxia and cranial hematoma or injury incidence was signiifcantly lower than the control group,P〈0.05; no statistical signiifcance in two groups of premature rupture of membranes, oligohydramnios and prolonged labor, pneumonia, other complications and death, neonatal symptoms improvement the difference （P〉0.05）.Conclusion：Using fetal the appropriate mode of delivery can reduce the parturient term pregnancy with fetal distress, neonatal asphyxia of perinatal mortality.