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目的探讨不同的断脐时间对母儿预后的影响。方法将选取研究的308例产妇按照个人意愿分为延迟脐带结扎组124例和常规断脐(早断脐)组184例,分别对比分析两组新生儿血红蛋白、胆红素值、Apgar评分、贫血以及孕妇产后出血量,通过比较两组并发症之间的风险比判断不同断脐时间对母儿结局的影响。结果延迟断脐组能有效减少贫血的发生,OR=0.25(0.07,0.86),P=0.014;对减少胆红素血症、Apgar评分、铁缺乏症以及预防产妇出血等均有一定的保护作用,OR<1,P>0.05;而对黄疸的发生可能是危险因素,OR>1,P>0.05。结论延迟断脐能降低贫血等并发症发生的风险,有助于产后母儿愈后。
Objective To investigate the effect of different broken umbilical time on the prognosis of maternal and child. Methods According to personal wishes, 308 pregnant women were divided into 124 cases of delayed umbilical cord ligation group and 184 cases of routine umbilical cord disconnection. The hemoglobin, bilirubin value, Apgar score, anemia As well as the amount of postpartum bleeding in pregnant women, by comparing the risk ratio between the two comparisons to determine the effect of different broken umbilical time on maternal and child outcomes. Results Delayed umbilicus group can effectively reduce the incidence of anemia, OR = 0.25 (0.07,0.86), P = 0.014; to reduce bilirubin, Apgar score, iron deficiency and prevent maternal hemorrhage, etc. have a certain protective effect , OR <1, P> 0.05; while the incidence of jaundice may be a risk factor, OR> 1, P> 0.05. Conclusion Delayed umbilical cord can reduce the risk of complications such as anemia, contribute to postpartum maternal prognosis.