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目的探讨正确处理第一产程,减少第二产程剖宫产,降低母婴并发症。方法总结2011年5月-2012年5月我院产程中剖宫产212例,其中第一产程异常经积极处理后行剖宫产112例(研究组),第二产程剖宫产100例(观察组),择期剖宫产100例为对照组。结果第二产程剖宫产子宫切口延裂率16.0%,产后出血率14.0%,产褥感染率9.0%,均高于研究组的4.46%,3.57%,1.79%(P<0.05)。观察组新生儿窒息率10.0%,羊水粪染率19.0%,新生儿入NICU率8.0%,均高于研究组的2.68%,7.14%,1.79%(P<0.05);而以上各比率在研究组与对照组间无显著性差异。结论第二产程剖宫产对于母婴的危险系数都远高于第一产程剖宫产,临床医生应注意正确处理第一产程,防止试产过度,尽量减少第二产程剖宫产。
Objective To explore the correct treatment of the first stage of labor, reduce the second stage of cesarean section, reduce maternal and child complications. Methods Summary From May 2011 to May 2012, 212 cases of cesarean section in our hospital were performed. Among them, 112 cases of cesarean section (study group), 100 cases of cesarean section in the second stage of labor Observation group), elective cesarean section 100 cases as control group. Results The rate of uterine incision cesarean section in the second stage of labor was 16.0%, the rate of postpartum hemorrhage 14.0% and the rate of puerperal infection 9.0%, which were all higher than that of the study group (4.46%, 3.57%, 1.79%, P <0.05). In the observation group, the asphyxia rate was 10.0%, the meconium-stained amniotic fluid rate was 19.0% and the neonatal NICU rate was 8.0%, which were all higher than those in the study group (2.68%, 7.14% and 1.79%, P <0.05) There was no significant difference between groups and control groups. Conclusions The risk factors for cesarean section in the second stage of labor are far higher than those in the first stage of labor for cesarean section. Clinicians should pay attention to the correct treatment of the first stage of labor, to prevent excessive trial production and to minimize cesarean section in the second stage of labor.