摘要
目的 分析在妊娠期糖尿病产妇分娩中不同引产实际对分娩方式、妊娠及格局的影响。方法 将2020年1月—2022年1月期间长汀县汀州医院收治的妊娠期糖尿病产妇60例作为研究对象,根据产妇引产时间的不同分为观察组(40周以上,30例)和对照组(39~40周,30例),比较分析两组产妇的分娩方式(剖宫产、阴道助产、侧切率、单用缩宫素率、水囊使用率)、新生儿不良出生结局(新生儿低血糖、巨大儿、新生儿窒息、胎儿窘迫)、新生儿Apgar评分、产后1 d出血量、体质量。结果 观察组阴道助产、侧切率、10 min Apgar评分、产后1 d出血量、体质量、新生儿低血糖与对照组对比,差异无统计学意义(P>0.05)。但观察组剖宫产率、新生儿巨大儿、新生儿窒息、胎儿窘迫发生率低于对照组,单用缩宫素率、水囊使用率、出生后1 min Apgar评分高于对照组,差异有统计学意义(P<0.05)。结论 在妊娠期糖尿病产妇分娩中在孕40周后进行引产能够明显提高新生儿出生质量,同时还能有效降低新生儿不良出生结局发生率与分娩中水囊使用率,相较于孕40周及以下更有利于母婴安全,临床可根据产妇实际病情选择合理的引产方式。
Objective To analyze the effect of different induction of labor actual on delivery mode,pregnancy and pat⁃tern in gestational diabetic women in labor.Methods Sixty cases of women with gestational diabetes admitted to Changting County Tingzhou Hospital during January 2020 to January 2022 were used as the study subjects.According to the time of maternal induction of labor,they were divided into observation group(above 40 weeks,30 cases)and control group(39-40 weeks,30 cases).The methods of delivery(cesarean section,vaginal assisted delivery,lateral in⁃cision rate,rate of single use of contractions,and rate of hydrocolloid use),adverse neonatal birth outcomes(neonatal hypoglycemia,macrosomia,neonatal asphyxia,and fetal distress),neonatal Apgar score,postpartum 1-d bleeding,and body mass were compared and analyzed between the two groups.Results There were no statistically significant differ⁃ences in vaginal assisted delivery,lateralization rate,10 min Apgar score,1 d postpartum hemorrhage,body mass,and neonatal hypoglycemia in the observation group compared with the control group(P>0.05).However,the rate of cesar⁃ean section,neonatal macrosomia,neonatal asphyxia,and fetal distress in the observation group was lower than that in the control group,and the rate of contractions alone,the rate of hydrocolloid use,and the 1 min postnatal Apgar score were higher than that in the control group,the differences was statistically significant(P<0.05).Conclusion Induction of labor after 40 weeks of gestational diabetes mellitus can significantly improve the quality of newborn births and ef⁃fectively reduce the incidence of adverse neonatal outcomes and the use of hydrocolloid during labor,which is more beneficial to maternal and infant safety than at 40 weeks of gestation and below.The clinical choice of induction of labor can be based on the actual condition of the mother.
作者
王妍
罗忆凡
徐晓飞
WANG Yan;LUO Yifan;XU Xiaofei(Department of Obstetrics and Gynecology,Changting County Tingzhou Hospital,Changting,Fujian Province,366300China)
出处
《糖尿病新世界》
2022年第24期54-57,共4页
Diabetes New World Magazine
关键词
不同引产时机
妊娠期糖尿病
分娩方式、妊娠结局
Different timing of labor induction
Gestational diabetes mellitus
Mode of delivery,Pregnancy outcome
