摘要
目的：探讨10年中臀位分娩方式变化对新生儿预后的影响，指导临床选择合适的分娩方式，正确掌握臀位阴道助产术。方法：对本院1989年1月-1998年12月单胎臀位分娩686例分3个阶段进行回顾性分析。结果：10年间单胎臀位的剖宫产率上升，差异有显著性（P〈0．01），第1阶段新生儿窒息率及死亡率较高（P〈0．01），第2、3阶段无差异（P〉0．05）。臀位早产发生率较同期头位高（P〈0．01），早产儿死亡占臀位产儿死亡的3／4。结论：适当放宽单胎臀先露剖宫产指征可以提高围产儿质量，但无限制地提高剖宫产率不能无限度地降低围产儿死亡率；臀位阴道助产是可行的，关键是掌握适应症及助产技术和操作规程。
Objective： To analyze whether the mode of breech delivery had an influence oninfant outcome and guide clinic to select appropriate delivery mode and to master the art ofbreech extraction. Methods： Medical records of 686 case with singleton breech presentationseen in our hospital from Jan. 1989 to Dec. 1998 were collected and divided into three stagesand analyzed retrospectively. Results： Rate of cesarean breech delivery increased during thepast ten yearn In the first stage neonatal asphyxia and death rat was higher （P 〈 0. 01 ）, whilethe second and third stages had no significantly different （P 〉 0. 05） . The incidence of pretermbreech delivery was higher compared with cephalic presentation （ P 〈 0. 01 ） . Mortality ofpremature infant accounted for three fourths. Conclusion： To adjust to a certain proportion ofcesarean breech delivery can improve the quality of prenatal infant. But to widen Cesareanrate absolutely dose not result in the corresponding decrease of infant mortality. Partial breechextraction is feasible, the key is to master the indication and art of deliver rule.
出处
《中国妇幼保健》
CAS
北大核心
2006年第14期1957-1958,2001,共3页
Maternal and Child Health Care of China
关键词
臀位
新生儿窒息
围产儿死亡
剖宫产
breech presentation neonatal asphyxia prenatal mortality cesarean section
