剖宫产对过期妊娠母婴的影响

目的:探讨剖宫产对过期妊娠母婴的影响。方法:回顾性分析166例过期妊娠的分娩方式,其中剖宫产84例,阴道分娩81例,观察两种分娩方式下新生儿的窒息率和死亡率。结果:无论阴道分娩还是刮宫产,胎盘功能Ⅲ级和羊水≤3cm组的胎儿窘迫,新生儿窒息,围产儿死亡比胎盘功能Ⅱ级和羊水3cm组的百分率高。在同组中,除胎儿窘迫外,上述发生率阴道分娩组高于剖宫产组。结论:过期妊娠对围产期母婴危害较大,应适时终止妊娠,分娩方式上应避免阴道助产,可适当放宽剖宫产指征,以利于降低胎儿窘迫、新生儿窒息、新生儿死亡及产后出血的发生率。

Cesarean Section on Maternal and Child Effects of Prolonged Pregnancy

Purpose： Cesarean section on maternal and child to explore the impact of prolonged pregnancy. Method： Retrospective analysis of 166 cases of overdue pregnancy, delivery mode, in which 84 cases of cesarean section, vaginal delivery 81 cases were observed two kinds of delivery mode and mortality rate of newborn asphyxia. Results： Either vaginal delivery or curettage of production, grade Ⅲ placental function and amniotic fluid ≤3 cm group of fetal distress, neonatal asphyxia, perinatal mortality ratio and amniotic fluid placental function Ⅱ grade 〉 3 cm high percentage of group, In the same group, except for fetal distress, the above group was higher than the incidence of vaginal delivery cesarean section group. Conclusion： Prolonged pregnancy on perinatal maternal and child criminals, should be timely termination of pregnancy, childbirth the way to avoid vaginal delivery, cesarean section may be appropriate to relax the benefit of reduced fetal distress, neonatal asphyxia, neonatal deaths and post-natal The incidence of bleeding.