顺产和剖宫产孕妇产后出血和母婴结局比较分析

Comparison of Postpartum Hemorrhage and the Maternal and Neonatal Outcomes of Vaginal Delivery and Cesarean Section

目的：探讨孕妇顺产和剖宫产产后出血发生情况及母婴结局。方法选择2012年1月～2014年12月间在我院分娩的248例孕妇临床资料，按照分娩方式分为剖宫产组（86例）和顺差组（162例），比较两组产后出血情况及母婴结局。结果顺产组孕妇产后出血量少于顺产组，产后出血发生率更低，孕妇产褥病率、感染率更低，胎儿健康情况优于剖宫产组，差异明显，有统计学意义（P＜0.05）。结论孕妇分娩中采用顺产比剖宫产更具优势，临床中应严格控制剖宫产指征，尽可能地选择顺产方式，以改善母婴结局。

Objective To explore the natural childbirth and postpartum hemorrhage of cesarean section and the incidence of maternal and neonatal outcomes.Methods Retrospective analysis of 248 cases of pregnant women from 2012 January to 2014 December in our hospital, according to mode of delivery points for cesarean section group （86 cases） and surplus group （162 cases）, compared two groups of postpartum hemorrhage and neonatal outcomes.Results The spontaneous labor group of pregnant women postpartum hemorrhage, the incidence of postpartum hemorrhage, perinatal outcomes were better than the cesarean section group, difference is apparent, with statistical significance （P〈0.05）.Conclusion Pregnant women using birth has more advantage than the cesarean section, we should strictly control the indications for cesarean section clinical, as far as possible choice eutocia way, to improve maternal and neonatal outcomes.