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目的探讨羊水过少的足月妊娠产妇选择不同分娩方式对新生儿结局的影响。方法将93例产前B超提示羊水过少(包括羊水偏少和绝对羊水过少)的足月妊娠产妇根据不同的分娩方式分为剖宫产组(n=51例)和阴道分娩组(n=42例),观察羊水粪染程度和新生儿窒息率。结果两组羊水粪染发生率和新生儿窒息的发生率比较差异具统计学意义(P<0.05),而两组羊水偏少者羊水粪染程度和新生儿窒息率比较差异无统计学意义(P>0.05)。结论超声提示绝对羊水过少的足月妊娠产妇,以剖宫产终止妊娠可以改善新生儿预后,对于羊水偏少在严密监护下可适当行阴道试产。
Objective To investigate the effect of different modes of delivery on neonatal outcome in term pregnant women with oligohydramnios. Methods Ninety-three pregnant women with full-term prenatal B-ultrasound who had low amniotic fluid (including oligohydramnios and absolute oligohydramnios) were divided into cesarean section group (n = 51) and vaginal delivery group according to different modes of delivery n = 42 cases) to observe the degree of meconium-stained amniotic fluid and neonatal asphyxia. Results The incidence of meconium-stained amniotic fluid in two groups was significantly different from that of neonatal asphyxia (P <0.05), while there was no significant difference in the meconium-stained amniotic fluid between the two groups (P <0.05) P> 0.05). Conclusion Ultrasound prompts absolute oligohydramnios full-term pregnant women to cesarean termination of pregnancy can improve the prognosis of newborns, for oligohydramnios less closely under the supervision of vaginal trial may be appropriate.