臀位阴道分娩与剖宫产围产儿死亡分析

• 作 者: 邹桂月
• 机 构: 武汉铁路局中心医院妇产科,
• 出 处: 铁道医学
• 发表日期: 1984年03期
• 关键词: 剖宫产术 围产儿 臀位 阴道分娩 死亡分析 婴儿死亡率 更正死亡率 牵引术 剖宫产者 胎头娩出困难

本文分析了1978～1982年168例单胎臀产资料。阴道分娩106例(63.1%),剖宫产62例(36.9%),总国产儿死亡率为5.89%,更正死亡率为3.57%。曹氏助产婴儿死亡率为3.26%,臀全牵引术37.5%剖宫产无死亡率。鉴于臀位剖宫产率虽超过40%以上,围产儿死亡率亦不相应下降;对掌握适应症方面,作了综合分析并提出作者看法。

This article analyzes 168 cases of singleton hip birth data from 1978 to 1982. Vaginal delivery in 106 cases (63.1%), cesarean section in 62 cases (36.9%), the total domestic child mortality rate was 5.89%, the corrected mortality rate was 3.57%. Cao’s midwifery infant mortality rate was 3.26%, buttock traction 37.5% cesarean section without mortality. In view of the fact that the rate of cesarean section in the buttocks exceeded 40%, the perinatal mortality rate did not decrease correspondingly. Comprehensive analysis of the indications and author’s opinions were made.