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目的:探讨活跃期羊水Ⅱ～Ⅲ度粪染者剖宫产与阴道分娩的母婴结局。方法:对2011年1月至12月在我院产科分娩、进入活跃期后羊水Ⅱ～Ⅲ度粪染的产妇共175例采用不同分娩方式(阴道分娩组100例、剖宫产组75例)的妊娠结局进行回顾性分析。结果:新生儿窒息率、吸入性肺炎、胎盘粘连及产妇产后发热两组比较差异无统计学意义(P>0.05),阴道分娩产钳助产率为6%。剖宫产组产后出血者多于阴道分娩组,差异有统计学意义(P<0.05)。结论:羊水Ⅱ～Ⅲ度粪染而胎心正常者,经阴道分娩不影响母儿结局,选择剖宫产会增加产后出血率。
Objective: To investigate the maternal and infant outcomes of cesarean section and vaginal delivery in active amniotic fluid Ⅱ ~ Ⅲ patients. Methods: From January to December 2011 in our hospital obstetric childbirth, into the active phase of amniotic fluid Ⅱ ~ Ⅲ degree fecal dye of 175 cases of different modes of delivery (vaginal delivery group of 100 cases, 75 cases of cesarean section) The pregnancy outcome was retrospectively analyzed. Results: Neonatal asphyxia, aspiration pneumonia, placental adhesion and postpartum fever were not significantly different between the two groups (P> 0.05). Obstetrical forceps assisted vaginal delivery was 6%. Cesarean section postpartum hemorrhage were more than vaginal delivery group, the difference was statistically significant (P <0.05). Conclusion: Amniotic fluid Ⅱ ~ Ⅲ fecal staining and normal fetal heart rate, vaginal delivery does not affect the maternal outcome, choose cesarean section will increase the rate of postpartum hemorrhage.