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双胎妊娠的分娩方式与妊娠结局探讨
http://www.100md.com 《中国社会医学杂志》 2006年第3期
双胎妊娠;,阴道分娩;,剖宫产,,双胎妊娠;,阴道分娩;,剖宫产,1资料与方法,2结果,3讨论
     【摘要】 目的 探讨双胎妊娠的分娩方式与妊娠结局的关系。方法 将1998年1月~2005年12月104例双胎妊娠产妇按分娩方式分为阴道分娩组及剖宫产组,对其临床资料进行回顾性分析。结果 两组的孕周、产后出血率比较差异无统计学意义(P>005),剖宫产组新生儿体重显著高于阴道分娩组(P<001),两组第1胎儿分娩新生儿窒息率无统计学意义(P>005),而第2胎儿分娩新生儿窒息率剖宫产组显著低于阴道分娩组,差异有统计学意义(P<005)。结论 正确选择双胎妊娠的分娩方式,将有助于降低剖宫产率及新生儿窒息率。

    【关键词】 双胎妊娠; 阴道分娩; 剖宫产

    Study on the Route of Delivery and Pregnancy Outcome in Twin Pregnancy

    TANG Taiying, YAN Lingling. Departmant of Obstetrics and Gynecology, Chengdu Maternal and Child Health Care Hospital, Chengdu, 610031,China

    【Abstract】 Objective To study the relationship between delivery route and pregnancy outcome in twin pregnancy.Methods 104 twin pregnancy women were divided into two groups, which were cesarean section and vaginal delivery from January 1998 to December 2005. They were analyzed retrospectively. Results There was no difference in pregnant week and postpartum hemorrhage of two groups(P>0.05); neonatal weight of cesarean section group was higher than that of vaginal delivery(P<0.01). No significant difference was shown in neonatal asphyxia of first fetal in the two groups(P>0.05), however the incidence of neonatal asphyxia of second fetal in cesarean section is much lower than in vaginal delivery(P<0.05). Conclusion The right route of delivery can reduce the incidence of cesarean section and neonatal asphyxia. ......

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