双胎妊娠的分娩方式与妊娠结局探讨

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。

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

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.