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第二产程中行剖宫产对母婴的影响分析 被引量:5

The effects on maternal and neonates in the second phase cesar ean delivery
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摘要 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 impact of second stage caesarean section to maternal and neonatal and decrease the complications on maternal and child.Methods This paper uses ninety-four cases of emergency cesarean section head position for the second stage as an observation group in our hospital in January 2007 to December 2009 for two years,and ninety-four cases of non-emergency cesarean section primipara as a Control group over the same period.It compares two groups' differences in indications for surgery,related factors of cesarean section and complications of maternal and child.The impact on second stage caesarean section to maternal and child is also compared.Results The result is that appetizers asymmetric and abnormal fetal position are main reasons of cesarean section in Observation group(the Second stage of labor group),and that high rate meconium-stained amniotic fluid rate,heavy fetal weight and high rate of neonatal asphyxia are occurred in Observation group.As the second stage of labor's time is prolonged,the implications on maternal and child are increased.The two groups have significant differences.Conclusion Second stage caesarean section significantly increased the morbidity of maternal and neonatal and should be avoided.
作者 谭运福
出处 《晓庄学院学报(医学版)》 2011年第4期65-67,共3页 Journal of Hunan Normal University(Medical Sciences)
关键词 第二产程 急诊头位第二产程剖宫产 非急诊剖宫产 母婴并发症 second stage caesarean section emergency cesarean section head position for the second stage non-emergency cesarean section complications of maternal and child
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