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臀位是异常胎位中最常见的一种,其围产儿死亡率比头位高3～10倍。近年来臀位剖宫产率明显升高,但臀位产妇的分娩方式对产妇及新生儿均有不同影响。故应从母婴两方面来评价。现将我院102例臀位分娩方式与新生儿及产妇情况报道如下。1 临床资料1 臀位发生率及分娩方式我院1981年～1990年分娩总数4520例。单胎臀位102例,发生率为2.3％。102例臀位产妇年龄21～32岁,平均为24.7±2.7岁。其中初产妇85例,占83.3％;经产妇17例,占16.7％。其分娩方式剖宫产50例,占49.0％;阴道分娩52例,其中臀助产34例,臀牵引18例,阴道分娩率51.0％。阴道分娩组中,胎膜早破5例,占9.6％;妊高症4例,占7.7％。
Breech is the most common type of abnormal fetal position, with a perinatal mortality rate 3 to 10 times higher than the head position. In recent years, the rate of cesarean section in breech was significantly increased, but the mode of delivery of breech maternal mothers had different effects on the mothers and newborns. It should be evaluated from both mother and child. Now in our hospital 102 cases of breech delivery and neonatal and maternal conditions are reported below. 1 Clinical data 1 breech incidence and delivery methods Our hospital from 1981 to 1990 4520 total number of deliveries. One single breech was 102 cases, the incidence was 2.3%. 102 cases of breech maternal age 21 to 32 years, with an average of 24.7 ± 2.7 years. Among them, 85 cases of primipara, accounting for 83.3%; 17 cases of maternal, accounting for 16.7%. The cesarean section delivery mode of 50 cases, accounting for 49.0%; vaginal delivery in 52 cases, including 34 cases of hip delivery, hip traction in 18 cases, vaginal delivery rate of 51.0%. Vaginal delivery group, 5 cases of premature rupture of membranes, accounting for 9.6%; pregnancy-induced hypertension in 4 cases, accounting for 7.7%.