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目的了解第二产程剖宫产并发症及其产时特点,探讨如何减少第二产程剖宫产。方法我院2004年1月至2005年6月间第二产程(以下简称二程)剖宫产112例进行回顾性分析。结果第二产程剖宫产产后出血、子宫切口裂伤、产褥感染、新生儿窒息发生率及其并发症均高于第一产程剖宫产。第二产程剖宫产产时特点为胎头下降缓慢或停滞、胎方位异常及使用缩宫素等几项发生率较高。结论第二产程剖宫产增加母婴发病率,尽量避免第二产程剖宫产。认真观察第一产程,及时发现难产因素是主要的预防措施。
Objective To understand the complications of cesarean section in second stage of labor and the characteristics of its time of delivery, and to explore how to reduce the incidence of cesarean section in the second stage of labor. Methods From January 2004 to June 2005, 112 cases of cesarean section in the second stage of labor (hereinafter referred to as two-way) were retrospectively analyzed. Results The second stage of cesarean section postpartum hemorrhage, uterine incision laceration, puerperal infection, the incidence of neonatal asphyxia and its complications were higher than the cesarean section of the first stage of labor. The second stage of labor caesarean section is characterized by slow or stagnant fetal head decline, fetal position abnormalities and the use of oxytocin several higher incidence. Conclusions The second stage of cesarean section to increase the incidence of maternal and infant, try to avoid the second stage of cesarean section. Careful observation of the first stage of labor, timely detection of dystocia factors are the main preventive measures.