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本文对我院1976～1988年间162例多胎妊娠的分娩方式进行回顾性分析,指出多胎妊娠由于胎位异常、产力异常及妊娠并发症多等因素,难产及手术产率均较单胎明显增高。在133例经阴道分娩的双胎中,阴道手术产率为76.7％,本组双胎剖宫产率为16.4％。本文认为多胎妊娠的分娩方式应掌握以下原则:当第一胎儿为臀位、第二胎儿为头位,尤其是胎儿较大、羊水较少时,应考虑剖宫产,而单纯的第二个胎儿臀位或横位时可以经阴道分娩,不必常规剖宫产。对多胎妊娠剖宫产的指征也提出了意见,并指出在决定剖宫产前,应充分考虑胎儿的成熟度及新生儿监护、哺育的具体条件,采取合适的分娩方式,才能取得较好的结果。
This article retrospectively analyzed the mode of delivery of 162 multiple pregnancies in our hospital from 1976 to 1988, and pointed out that multiple births were significantly higher than singletons due to abnormal fetal position, abnormal productivity and multiple pregnancy complications. In the 133 cases of vaginal delivery of twins, the vaginal surgery yield was 76.7%, the group of twin cesarean section rate was 16.4%. This article believes that multiple pregnancy delivery mode should grasp the following principles: When the first fetus is the breech, the second fetus is the head, especially when the fetus is larger, less amniotic fluid, cesarean section should be considered, while the simple second Fetal breech or transverse vaginal delivery can be done without cesarean section. Also pointed out that indications for cesarean section of multiple pregnancies, and pointed out that before deciding on cesarean section should give full consideration to the maturity of the fetus and neonatal care, nurturing the specific conditions, to adopt the appropriate mode of delivery in order to achieve better the result of.