摘要
目的探讨人类免疫缺陷病毒(HIV)感染孕妇不同分娩方式的妊娠结局及对新生儿预后的影响。方法选取2018年5月—2021年5月在杭州市西溪医院确诊的HIV感染孕妇60例为研究对象,根据分娩的方式分为自然分娩组、剖宫产组各30例。观察两组妊娠结局、新生儿预后及并发症发生的情况。结果剖宫产组的胎儿窘迫1例(3.33%)低于自然分娩组9例(30.00%),差异有统计学意义(P<0.05)。剖宫产组与自然分娩组的出生时身长、出生时体质量及阿氏评分(Apgar)评分差异均无统计学意义(P>0.05)。剖宫产组的产后出血、产褥感染的均低于自然分娩组,差异有统计学意义(P<0.05)。结论HIV感染孕妇不同分娩方式均会对孕妇、新生儿产生不同的影响,剖宫产可以减少胎儿窘迫、新生儿窒息的发生,自然分娩可以减少、产后出血及产褥感染的发生。
Objective To explore the pregnancy outcome and effect of human immunodeficiency virus(HIV)infection.Methods A total of 100 pregnant women with HIV infection diagnosed in our hospital from May 2019 to May 2021 were selected as the study subjects and divided into natural and cesarean delivery groups according to the method of delivery.Both groups have observed their pregnancy outcomes,neonatal outcomes,and complications.Results The fetal distress rate in cesarean section group 1 case(3.33%)was lower than that in natural delivery group 9 cases(30.00%)being statistically significant(P<0.05).There were no statistical differences in birth length,birth weight,or Afghan score(Apgar)scores between the cesarean section and natural birth groups(P>0.05).Postpartum bleeding and puerperal infection in the cesarean section group were higher than in the natural delivery group,and the difference was statistically significant(P<0.05).Conclusion Different delivery methods of pregnant women with HIV infection will have different effects on pregnant women and newborns.cesarean section can reduce the occurrence of intrauterine distress and neonatal asphyxia,and natural delivery can reduce,postpartum bleeding and the occurrence of puerperal infection.Cesarean section should be further promoted and applied in clinical practice.
作者
樊双燕
陶承静
FAN Shuang-Yan;TAO Cheng-Jing(Affiliated Hangzhou Xixi Hospital Zhejiang University School Of Medicine,Hangzhou,Zhejiang 310000,China)
出处
《中国妇幼保健》
CAS
2022年第24期4565-4568,共4页
Maternal and Child Health Care of China
基金
浙江省杭州市卫生科技计划项目(A20210077)。
关键词
人类免疫缺陷病毒
分娩方式
妊娠结局
并发症
Human immunodeficiency virus
Mode of delivery
Outcome of pregnancy
Complications
