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目的探讨足月妊娠羊水过少不同分娩方式对围生儿的影响,寻找较好分娩方式,降低围生儿病死率。方法回顾性分析2006年1月至2008年1月在我院住院分娩的184例羊水过少孕妇的围生儿情况;比较羊水过少阴道分娩、急诊剖宫产、计划剖宫产3种分娩方式的围生儿结局。结果妊娠晚期羊水过少的围生儿病率及病死率高;羊水过少分娩过程中新生儿窒息、吸入性肺炎、HIE发生率以计划剖宫产组最低;急诊剖宫产组与阴道分娩组之间比较,新生儿窒息率两组差异具有统计学意义(P<0.05),HIE发生率无统计学意义(P>0.05);急诊剖宫产组与计划剖宫产组之间比较,急诊剖宫产组的新生儿窒息、吸入性肺炎、HIE的发生率均明显大于计划剖宫产组,两组比较具有统计学意义(P<0.05)。结论妊娠晚期羊水过少的围生儿病率及病死率明显增加;妊娠晚期羊水过少急诊剖宫产者和阴道分娩者的新生儿结局较差,不失时机的选择剖宫产是改善围生儿预后的关键。
Objective To investigate the effect of different modes of delivery on perinatal infants due to oligohydramnios in full-term pregnancy and to find out a better mode of delivery and reduce the mortality of perinatal children. Methods A retrospective analysis of 184 cases of perinatal inpatients with oligohydramnios in our hospital from January 2006 to January 2008 were retrospectively analyzed. Three cases of cesarean delivery were compared with vaginal delivery of oligohydramnios, emergency cesarean section, Way of perinatal outcome. Results The incidence of perinatal morbidity and mortality was too low in the third trimester of pregnancy. The incidence of neonatal asphyxia, aspiration pneumonia and the incidence of HIE in the planned cesarean section were the lowest in the oligohydramnios group. The emergency cesarean section group and vaginal delivery There was no significant difference in the incidence of HIE between the two groups (P <0.05), between the emergency cesarean section group and the planned cesarean section group, Neonatal asphyxia, aspiration pneumonia, and incidence of HIE in the emergency cesarean section group were significantly greater than those in the planned cesarean section group, with statistical significance (P <0.05). Conclusions The incidence of perinatal morbidity and mortality in oligohydramnios during late pregnancy is significantly increased. In the third trimester of pregnancy, the incidence of oligohydramnios is low, and neonatal cesarean delivery and vaginal delivery have poor outcomes. Choosing the right cesarean section to improve perinatal outcome The key to prognosis.