论文部分内容阅读
目的:探讨第二产程长短及不同分娩方式对胎儿预后的影响。方法:对第二产程延长的单胎、足月、无合并症的初产妇410例与同期产程正常,条件相同的产妇410例进行对照分析。结果:第二产程延长的产妇,新生儿低Apgar评分的发生率为25.12％,明显高于第二产程正常者(P<0.005);第二产程延长的产妇出现胎儿宫内窘迫时,不论采取何种分娩方式,新生儿低Apgar评分和围产儿死亡率均增高。结论:缩短第二产程,使胎儿尽快脱离宫内受压及缺氧环境,可改善胎儿预后,降低围产儿死亡率。
Objective: To investigate the effect of the length of the second stage of labor and different modes of delivery on fetal prognosis. Methods: A total of 410 primipara, full-term, and non-comorbid primiparas in the second stage of labor were compared with 410 normal and equal mothers in the same period. Results: The incidence of second-stage prolonged maternal and neonatal Apgar score was 25.12%, significantly higher than that of the second stage of normal labor (P <0.005); second-stage prolonged maternal fetal distress, no matter taken What mode of delivery, low neonatal Apgar score and perinatal mortality were higher. Conclusion: Shortening the second stage of labor can make the fetus escape from intrauterine compression and hypoxia as soon as possible, improve fetal prognosis and reduce perinatal mortality.