摘要
目的:探讨二胎政策对初产妇分娩方式及妊娠结局的影响。方法:回顾性分析二胎政策推行前(对照组,n=124)和推行后(观察组,n=124)入院分娩的初产妇临床资料。比较两组产妇分娩方式(自然分娩、阴道助产、剖宫产)的选择及其妊娠结局(产后出血、产后感染、新生儿窒息)的变化。结果:两组阴道助产率比较无统计学差异(P>0.05),观察组自然分娩率明显高于对照组,剖宫产率明显低于对照组(P<0.05)。观察组产后出血、感染及新生儿窒息发生率均低于对照组(P<0.05)。结论:二胎政策实施后初产妇对剖宫产选择减少且自然分娩选择增多,产妇发生产后出血、感染风险及新生儿发生窒息的风险降低,有利于妊娠结局。
Objective： To analyze influence of two-child policy on delivery modes and pregnancy outcomes in primiparas.Methods： The clinical data of 248 cases of primiparas,who were admitted to the hospital before（124 cases,control group） and after（124 cases,observation group） the implementation of two-child policy,were analyzed retrospectively. The differences of delivery modes（natural delivery,assisted vaginal delivery and cesarean section） and change of pregnancy outcomes（postpartum hemorrhage,postpartum infection and neonatal asphyxia） between the two groups were compared. Results： There was no significant difference between the two groups in the rate of assisted vaginal delivery（P 0.05）. The natural delivery rate in the observation group was higher than that in the control group,and the rate of cesarean section in the observation group was lower than that in the control group（P 0.05）.The incidence rates of postpartum hemorrhage,infection and neonatal asphyxia in the observation group were all lower than those in the control group（P0.05）. Conclusions： After the implementation of two-child policy,the cesarean section rate is decreasing and the natural delivery rate is increasing in the primiparas,the risks of postpartum hemorrhage and infection,neonatal asphyxia are reducing,and it is benefit to improve the pregnancy outcomes.
出处
《中国民康医学》
2017年第16期13-14,共2页
Medical Journal of Chinese People’s Health
关键词
初产妇
分娩方式
妊娠结局
二胎政策
Primipara
Delivery mode
Pregnancy outcome
Two-child policy
