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正常分娩和剖宫产对母体和胎儿临床安全的影响研究 被引量:12

Normal Delivery and Cesarean Delivery Influence on Maternal and Fetal Clinical Safety
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摘要 目的 研究不同的分娩方式对母体和胎儿的不同影响结果.方法 对在深圳市罗湖妇幼保健院2013年1 -3月分娩的产妇进行研究,根据患者意愿和剖宫产指征分为自然分娩组和剖宫产分娩组,观察实行剖宫产的原因,同时记录产妇的产后情况及新生儿的情况,对两种分娩方式进行比较研究.结果 自然分娩组与剖宫产分娩组的各项指标比较,产后体温的变化[(36.9±0.4) ℃ vs (37.6±0.3) ℃]、白细胞的增高[9.4×10^9/L vs 11.6×10^9/L]、产褥热出现概率(6% vs 11%)及产妇分泌乳汁的时间[(24.3±1.3) h vs (26.7±2.1) h],自然分娩组均低于剖宫产分娩组,自然分娩组新生儿肺炎的发病率(5.07%)显著低于剖宫产组(11.46%),比较差异有统计学意义(P<0.05).结论 自然分娩是一种正常的生理过程,而剖宫产可以作为自然分娩困难时的一种解决方案,却不是最佳的选择方式. Objective To study the different effects of different delivery modes on maternal and fetal outcome.Methods Puerpera admitted by Shenzhen Maternity and Child Health Hospital during Jan. 2013 and Mar. 2013 for delivery were included in the study, and divided into natural childbirth group and Cesarean delivery group according to the wishes of patients and indications for Cesarean section,the reasons for implementation of Cesarean section were observed,and the postpartum maternal and neonatal conditions of the two delivery modes were compared.Results Natural childbirth group and Cesarean delivery group comparison in body temperature[(36.9±0.4) ℃ vs (37.6±0.3) ℃],white blood cells increased[9.4×10^9/L vs 11.6×10^9/L],puerperal morbidity probability(6% vs 11%) and maternal lactation time[(24.3±1.3) h vs (26.7±2.1) h],the former group was all lower than the latter group.The incidence of neonatal pneumonia(5.07%) of natural childbirth group was significantly lower than Cesarean section group(11.46%)(P〈0.05).Conclusion Natural childbirth is a normal physiological process,while Cesarean section can be used as a solution for difficult natural childbirth difficult,but is not an optimal choice.
出处 《医学综述》 2014年第5期925-926,共2页 Medical Recapitulate
关键词 正常分娩 剖宫产 母胎安全研究 Normal delivery Cesarean section Maternal-fetal safety research
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