摘要
目的：探讨双胎妊娠的不同分娩方式与其妊娠结局的关联。方法：将2009年3月-2013年3月我院产科收治的双胎妊娠孕妇80例随机均分为2组,各40例,其中一组行剖宫产,另一组行阴道产,观察比较两种分娩方式的妊娠结局。结果：（1）两种分娩方式孕妇产后出血机率比较无显著差异（P〉0.05）；剖宫产组孕周≥37周有29例（72.5%）,明显高于阴道分娩组17例,42.5%（P〈0.05）；剖宫产组新生儿体重在2500g以上的有26例（65.0%）,明显高出阴道分娩组（15例,37.5%）（P〈0.05）。（2）两种分娩方式的第一胎儿发生窒息的机率比较无显著差异（P〉0.05）,但在第二胎儿中阴道分娩组窒息率达到27.5%,剖宫产组为7.5%,比较差异有统计学意义（P〈0.05）。（3）两胎儿分娩出生间隔时间〉15min时第二例胎儿窒息发生率明显高于≤15min出生者（P〈0.05）,在阴道分娩组第二胎儿中尤为显著。结论：对于双胎妊娠孕妇,结合孕妇及胎儿的具体情况选择正确适宜的分娩方式,能够有效降低新生儿窒息的发生率。
Objective： To investigate the relationship between mode of delivery and pregnancy outcome in twin pregnancy. Methods：80 cases twin pregnancy women in our hospital from March 2009 to March 2013were divided into two groups, which were vaginal delivery group and cesarean section group, the pregnancy outcome was compared. Results：（1）There was no significant difference in postpartum hemorrhage of two groups（P〉0.05）;The pregnant week and birth weight of cesarean section group was significantly greater than the vaginal delivery group. （2）There were no differences about incidence of neonatal asphyxia in first fetal between two groups （P〉0.05）, but the incidence of neonatal asphyxia of second fetal in vaginal delivery group was higher than that in cesarean section group （P〈0.05）.（3）The incidence of neonatal asphyxia of second fetal at≥15 minutes was higher than that of at〈15 minutes（P〈0.05）. Conclusion：For twin pregnancy pregnant, making a right choice for the mode of delivery can lower the incidence of neonatal asphyxia.
出处
《中国医药导刊》
2014年第4期614-615,617,共3页
Chinese Journal of Medicinal Guide
关键词
双胎妊娠
剖宫产
阴道分娩
Twin pregnancy
Cesarean section
Vaginal delivery
