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目的:了解第二产程延长对母婴的影响,探讨有效的解决方案。方法:回顾总结该院2006年12月～2008年9月第二产程延长患者216例(观察组),并随机选取同期住院分娩患者235例(对照组)。行两组产妇及新生儿围生期结局比较。结果:观察组孕妇采用剖宫产终止妊娠几率远大于对照组;采用同种方式终止妊娠时,观察组产后出血量显著高于对照组。两组间产妇严重软产道损伤、产后排尿困难及产褥期出现临床感染症状的几率无明显差异。但观察组新生儿出生后1 min Apgar评分较对照组明显降低,且低Apgar评分率两组亦有统计学差异。结论:第二产程延长是导致剖宫产率增高的原因之一。它导致母体产后出血量发生率增加,且新生儿娩出后1 min Apgar评分下降。在产科临床工作中,应进行头盆评分,尽量避免并积极处理第二产程延长,改善母婴预后。
Objectives: To understand the impact of prolonged second stage labor on mothers and babies and explore effective solutions. Methods: A total of 216 patients with prolonged second stage of labor (observation group) from December 2006 to September 2008 in our hospital were retrospectively reviewed. 235 hospitalized patients in the same period of hospitalization (control group) were randomly selected. Perinatal outcome of maternal and newborn infants in two groups. Results: The probability of termination of pregnancy by cesarean section in pregnant women in the observation group was much higher than that in the control group. When the same way was used to terminate the pregnancy, the amount of postpartum hemorrhage in the observation group was significantly higher than that of the control group. There was no significant difference in the incidence of maternal severe soft birth canal injury, postpartum dysuria and clinical symptoms in puerperium. However, the Apgar score at 1 min after birth in the observation group was significantly lower than that in the control group, and there was also a significant difference between the two groups in the low Apgar score. Conclusion: The second stage of labor prolongation is one of the causes of increased cesarean section rate. It leads to an increase in the rate of maternal postpartum hemorrhage and a decrease in Apgar scores at 1 min after delivery. In obstetric clinical work, should be the first basin score, try to avoid and actively deal with the extension of the second stage of labor to improve maternal and child prognosis.