阴道助产与剖宫产对脐带脱垂预后的影响

目的:比较阴道助产与剖宫产对脐带脱垂预后的影响。方法:52例发生胎儿脐带脱垂的产妇,根据临床情况分别进行剖宫产和阴道助产,比较两组间新生儿死亡率、新生儿产伤和产妇产褥感染、出血或血肿、组织损伤的发生率。结果:剖宫产组新生儿死亡率和产伤发生率、出血和组织损伤发生率均较阴道助产组明显降低(P<0.05),而产褥感染在两组间无显著性差异(P>0.05)。结论:以剖宫产处理脐带脱垂可以相对降低新生儿死亡率及减少母婴并发症,优于阴道助产。

Impact of Vaginal Delivery or Cesarean Section on Clinical Outcomes of Umbilical Cord Prolapse

Objective:To compare the impact of vaginal delivery or cesarean section on clinical outcomes of umbilical cord prolapse.Methods:Fifty-two pregnant women with fetal umbilical cord prolapse were enrolled and undergone cesarean section or vaginal delivery respectively according to clinical demand,the perinatal mortality rates and the incidence of fetal injury,maternal puerperal infection,hemorrhage or hematoma and tissue injury were compared.Results:The perinatal mortality rates and the incidence rates of fetal injury,maternal hemorrhage or hematoma and tissue injury in patients undergone cesarean section were significantly lower than those in patients undergone vaginal delivery(P<0.05),there was no significant difference in the incidence of maternal puerperal infection between 2 groups(P>0.05).Conclusion:Cesarean section is superior to vaginal delivery in management of umbilical cord prolapse with a relatively lower perinatal mortality rate and fewer maternal and perinatal complications.