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492例臀位分娩临床分析
引用本文:钟秀蓉,王香菊,刘静文.492例臀位分娩临床分析[J].中国医药科学,2011(15):65+70.
作者姓名:钟秀蓉  王香菊  刘静文
作者单位:广东省潮州市湘桥区妇幼保健院
摘    要:目的探讨臀位分娩的合理方式。方法回顾分析笔者所在医院2005年1月~2008年1月492例臀位分娩情况。结果 310例臀位阴道分娩与182例剖宫产新生儿窒息率和新生儿骨折率相比较差异无统计学意义(x2=0.23,P>0.05),两种分娩方式的产后出血率相比较差异有统计学意义(x2=4.73,P<0.05)。结论臀位分娩有选择性的行阴道臀牵引助产分娩,并不会增加母儿的并发症,可以降低剖宫产率。

关 键 词:臀位  剖宫产  阴道分娩  新生儿窒息  产后出血

Clinical analysis on breech delivery of 492 cases
ZHONG Xiurong,WANG Xiangju,LIU Jingwen.Clinical analysis on breech delivery of 492 cases[J].China Medicine and Pharmacy,2011(15):65+70.
Authors:ZHONG Xiurong  WANG Xiangju  LIU Jingwen
Institution:Xiangqiang District Maternity and Child Care Centre in Chaozhou City of Guangdong Province,Chaozhou 521000,China
Abstract:Objective To discuss the reasonable way of breech delivery. Methods The breech delivery condition of 492 cases in our hospital from Jan 2005 to Jan 2008 were retrospectively analyzed. Results There was no significant difference between 310 cases of breech and vaginal delivery and 182 cases of cesarean section in newborn asphyxia rate and newborn fracture rate (x 2 =0.23,P > 0.05),and there was significant difference between two delivery ways in postpartum hemorrhage rate(x 2 =4.73,P < 0.05). Conclusion Selective implementation of delivery-aiding vaginal breech extraction during breech delivery does not increase the possibility of maternal and fetal complications and can reduce the rate of cesarean section.
Keywords:Breech  Cesarean Section  Vaginal Delivery  Newborn Asphyxia  Postpartum hemorrhage
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