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目的:探讨孕足月羊水偏少产妇适宜的分娩方式。方法:选择2009年2月～2010年10月住院分娩、产前B超诊断羊水偏少的产妇300例为观察组,随机抽取同期B超诊断羊水量正常的产妇300例为对照组。观察分析两组胎儿宫内窘迫、分娩方式、新生儿情况。结果:两组胎儿宫内窘迫及中、重度羊水粪染比较差异无统计学意义(P>0.05),轻度羊水粪染比较差异有统计学意义;观察组自然分娩率显著低于对照组,急诊剖宫产率显著高于对照组,其他分娩方式两组差异无统计学意义。两组新生儿Apgar评分比较,轻度窒息差异有统计学意义,重度窒息差异无统计学意义。结论:羊水偏少的产妇若产前监护正常,无其他高危因素,在严密监护下可行阴道试产。
Objective: To investigate the appropriate mode of delivery for pregnant women with partial amniotic fluid during pregnancy. Methods: From February 2009 to October 2010 hospitalized delivery, prenatal B-diagnosis of amniotic fluid less than 300 cases of maternal observation group were randomly selected during the same period of B-ultrasound 300 cases of normal amniotic fluid as the control group. Observation and analysis of two groups of fetal distress, mode of delivery, neonatal conditions. Results: There was no significant difference between the two groups in fetal distress and moderate and severe meconium-stained amniotic fluid (P> 0.05). The mild meconium-stained amniotic fluid had statistical significance. The natural delivery rate in the observation group was significantly lower than that in the control group Emergency cesarean section rate was significantly higher than the control group, other modes of delivery was no significant difference between the two groups. Apgar score of neonatal comparison of two groups, mild asphyxia difference was statistically significant, severe asphyxia no significant difference. Conclusion: If the amniotic fluid is less, the prenatal guardianship is normal and no other risk factors are high. Under the close supervision, vaginal trial production is feasible.