产钳助产与急诊剖宫产对第二产程异常产妇母婴结局的影响分析

Influence of forceps delivery and emergency cesarean section on maternal and infant outcomes of abnormal second stage of labor

目的探讨产钳助产与急诊剖宫产对第二产程异常产妇母婴结局的影响,为实际应用提供参考价值。方法60例第二产程异常产妇,随机分为研究组和对照组,每组30例。对照组给予急诊剖宫产术,研究组给予产钳助产。比较两组新生儿Apgar评分、产妇并发症发生情况、新生儿并发症发生情况。结果两组新生儿Apgar评分3~7分、<3分占比比较差异无统计学意义(P>0.05);研究组新生儿Apgar评分≥8分占比为83.33%,高于对照组的53.33%,差异具有统计学意义(χ^2=6.239,P<0.05)。研究组产妇并发症发生率为13.33%,低于对照组的43.33%,差异具有统计学意义(χ^2=6.648,P<0.05)。研究组新生儿并发症发生率为16.67%,低于对照组的50.00%,差异具有统计学意义(χ^2=7.500,P<0.05)。结论产钳助产有利于第二产程异常产妇更快结束异常、娩出胎儿,有利于减少胎儿窒息,减少母婴并发症发生,保障母婴结局安全,在满足产钳助产指征前提下,可作为首选分娩方式推广应用。

Objective To discuss the effect of forceps delivery and emergency cesarean section on maternal and infant outcomes of abnormal second stage of labor,so as to provide reference for practical application.Methods A total of 60 parturient with abnormal second stage of labor were randomly divided into research group and control group,with 30 cases in each group.The control group received emergency cesarean section,and the research group received forceps delivery.The neonatal Apgar score,occurrence of maternal complications,neonatal complications were compared between the two groups.Results There was no statistically significant difference in proportion of neonatal Apgar score 3-7 points and<3 points between the two groups(P>0.05).The proportion of neonatal Apgar score≥8 points of the research group was 83.33%,which was higher than 53.33%of the control group,and the difference was statistically significant(χ^2=6.239,P<0.05).The incidence of maternal complications of the research group was 13.33%,which was lower than 43.33%of the control group,and the difference was statistically significant(χ^2=6.648,P<0.05).The incidence of neonatal complications of the research group was 16.67%,which was lower than 50.00%of the control group,and the difference was statistically significant(χ^2=7.500,P<0.05).Conclusion Forceps delivery can help women with abnormal second stage of labor to end the abnormality faster and deliver the fetus,reduce fetal asphyxia and the occurrence of maternal and infant complications,and ensure the safety of the mother and infant outcome.On the premise of meeting the indications of forceps midwifery,it can be used as the preferred mode of delivery.