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目的:探讨第二产程剖宫产对母婴的影响,减少母婴并发症。方法:采用我院2007年1月至2009年12月期间的94例急诊头位第二产程剖宫产为观察组,同期94例非急诊剖宫产初产妇为对照组,比较两组在手术指征,剖宫产相关因素及母婴并发症之间的差异,比较第二产程剖宫产对母婴的影响。结果:观察组(第二产程组)头盆不称胎方位异常是剖宫产的主要原因,观察组羊水粪染率高,胎儿体重偏大,新生儿窒息率高,随着第二产程时间的延长,母婴并发症增加,两组比较有显著差异性。结论:第二产程剖宫产对母婴危害大,尽可能降低第二产程剖宫产率,减少剖宫产并发症。
Objective: To investigate the effect of cesarean section on maternal and infant in the second stage of labor and to reduce the complications of mother and infant. Methods: From January 2007 to December 2009 in our hospital 94 cases of emergency head cesarean section of the second stage of labor as the observation group, the same period 94 cases of non-emergency cesarean section primipara for the control group, the two groups in the operation Indications, cesarean section related factors and the difference between maternal and child complications, comparing the second stage of cesarean section on the impact of maternal and infant. Results: Abnormal fetus orientation was the main cause of cesarean section in observation group (second stage of labor group). The rate of meconium-stained amniotic fluid in observation group was high, fetal weight was too large and neonatal asphyxia rate was high. With the second stage of labor time Of the extension, increased maternal and child complications, the two groups were significantly different. Conclusion: Cesarean section in the second stage of labor is more harmful to maternal and infant, reduce the rate of cesarean section in the second stage of labor as much as possible and reduce the complications of cesarean section.