足月胎膜早破孕妇分娩方式对妊娠结局的影响观察

摘要/Abstract

摘要： 目的分析足月胎膜早破孕妇分娩方式对妊娠结局的影响。方法选择2020年1月—2023年1月于榆林市横山区人民医院诊治的80例足月胎膜早破孕妇作为研究对象,根据孕妇的意愿选择不同的分娩方式,分为择期计划剖宫产组和自然临产组,每组40例。比较两组分娩方式对妊娠结局的影响。结果择期计划剖宫产组者的产后24 h内出血量、期待治疗时间均少于或短于自然临产组相应指标,差异有统计学意义（P<0.05）;择期计划剖宫产组出生后1 min、出生后5 min、出生后10 min的Apgar评分均高于自然临产组相应评分,差异有统计学意义（P<0.05）;择期计划剖宫产组不良妊娠结局发生率低于自然临产组,差异有统计学意义（P<0.05）;择期计划剖宫产组新生儿不良事件发生率低于自然临产组,差异有统计学意义（P<0.05）。结论足月胎膜早破孕妇应尽早进行分娩,从而降低不良妊娠不良结局及新生儿不良结局发生率,减少胎儿病死率及孕妇感染率。

关键词: 足月胎膜早破, 分娩方式, 妊娠结局, 新生儿并发症

Abstract: Objective To analyze the impact of delivery methods on pregnancy outcomes in pregnant women with premature rupture of membranes at term. Methods A total of80 cases of pregnant women with premature rupture of membranes at term treated in Yulin Hengshan District People's Hospital from January 2020 to January 2023 were selected as the research subjects. Different delivery methods were selected according to the wishes of pregnant women, divided into elective cesarean delivery group and natural delivery group, with 40 cases in each group. The effect of delivery mode on pregnancy outcomes between the two groups. Results The amount of bleeding and expected treatment time were less than or shorter than the corresponding indicators of the natural delivery group, and the differences were statistically significant (P<0.05); The Apgar scores of 1min, 5min and 10min after birth were all higher than those of the natural scheduled cesarean delivery group, with a statistically significant difference (P<0.05); The incidence of adverse pregnancy outcomes in the elective cesarean section group was lower than in the spontaneous labor group, significant (P<0.05), and the incidence of neonatal adverse events in the elective cesarean section group was lower than in the spontaneous labor group (P<0.05). Conclusion Pregnant women with premature rupture of membranes at term should be delivered as early as possible to reduce the incidence of adverse pregnancy outcomes and neonatal outcomes, and reduce the fetal mortality rate and the infection rate of pregnant women.

Key words: premature rupture of membranes at term, delivery method, pregnancy outcome, neonatal complications

中图分类号:

R714

薛靓瑀, 赵菊. 足月胎膜早破孕妇分娩方式对妊娠结局的影响观察[J]. 中华养生保健, 2024, 42(16): 176-178.

XUE Liang-Yu, ZHAO Ju. The Impact of Delivery Methods on Pregnancy Outcomes in Pregnant Women with Premature Rupture of Membranes at Term[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(16): 176-178.

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