延迟结扎脐带对自然分娩新生儿及产妇的影响

The Effect of Delayed Umbilical Cord Ligation on Natural Delivery of Newborns and Mothers

目的探讨延迟结扎脐带对自然分娩新生儿及产妇的影响。方法我院自2018年1月至2019年1月共收治有产妇120例,同时存在120例新生儿,将60例接受延迟结扎脐带的产妇定为观察组,同时抽取60例常规结扎脐带的产妇为对照组,分析两组产妇的第三产程时间、产后出血率及母婴结局之间的差异,分析不同结扎方式的分娩效果,继而探讨延迟结扎脐带对自然分娩新生儿及产妇的影响。结果(1)两组产妇出血量对比:观察组产妇产时出血量及产后出血量均显著低于对照组,P<0.05;(2)两组新生儿窒息发生率对比:观察组患儿中共有新生儿窒息2例,14 d内贫血1例,黄疸3例;对照组中共有新生儿窒息8例,14 d内贫血4例,黄疸7例,组间对比(c2=11.575,P=0.001),观察组新生儿窒息率、14 d内贫血率及黄疸发生率均显著低于对照组,P<0.05,有统计学意义;(3)两组新生儿APGAR评分、脐红血红蛋白及胆红素水平对比:观察组新生儿APGAR评分、脐红血红蛋白及胆红素水平相较于对照组新生儿均无明显差异,P>0.05。结论延迟结扎脐带能够有效降低产时出血量,提升母婴安全性,避免多种不良反应,改善血红蛋白水平,值得推广。

Objective To investigate the effect of delayed umbilical cord ligation on natural delivery of newborns and mothers. Methods A total of 120 parturients and 120 newborns were treated in our hospital from January 2018 to January 2019. Sixty parturients who received delayed umbilical cord ligation were selected as observation group, while 60 parturients who received routine umbilical cord ligation were selected as control group. The differences of the third stage of labor, postpartum hemorrhage rate and maternal and infant outcomes between the two groups were analyzed, and the delivery effects of different ligation methods were analyzed. Consequently, the effect of delayed umbilical cord ligation on natural delivery of newborns and mothers was explored. Results (1) Comparison of the amount of maternal bleeding between the two groups: the amount of maternal hemorrhage in the observation group was significantly lower than that in the control group (P<0.05).(2) Comparison of the incidence of neonatal asphyxia between two groups: the incidence of neonatal asphyxia in the observation group was 2 cases, 1 case of anemia within 14 days and 3 cases of jaundice. There were 8 cases of neonatal asphyxia, 4 cases of anemia within 14 days and 7 cases of jaundice in the control group (c2 =11.575, P=0.001), the neonatal asphyxia rate, anemia rate within 14 days and jaundice rate in the observation group were significantly lower than those in the control group, P<0.05, with statistical significance;(3) The comparison of APGAR score, umbilical hemoglobin and bilirubin levels in the two groups: APGAR score, umbilical hemoglobin and bilirubin levels in the observation group were not significantly different from those in the control group, P>0.05. Conclusion Delayed umbilical cord ligation can effectively reduce the amount of intrapartum hemorrhage, improve maternal and infant safety, avoid various adverse reactions and improve hemoglobin level, which is worthy of promotion.