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目的探讨多胎妊娠分娩时间以及分娩方式的选择。方法回顾性分析2014年1月—2015年1月在郑州大学第三附属医院接受分娩的30例多胎妊娠产妇的临床病例资料,总结其分娩时间以及分娩方式选取对分娩结局的影响。结果 30例孕产妇中孕周少于37周者9例,早产率为30.0%,围产期胎儿死亡3例,死亡率为33.3%;30例孕产妇中行剖宫产分娩产妇17例,阴道分娩13例,孕周期>37周行剖宫产分娩后胎儿死亡率与阴道分娩比较差异不明显无统计学意义(P<0.05)。结论多胎妊娠并发症及胎儿死亡率均较高,选取适当的分娩方式及分娩时机可有效降低围产儿死亡率。
Objective To explore the timing of multiple pregnancy delivery and the choice of mode of delivery. Methods The clinical data of 30 pregnant women with multiple pregnancies who were delivered at the Third Affiliated Hospital of Zhengzhou University from January 2014 to January 2015 were retrospectively analyzed. The time of delivery and the effect of delivery mode on delivery outcome were summarized. Results Nine pregnant women with gestational age less than 37 weeks were found in 30 pregnant women. The rate of premature birth was 30.0%. There were 3 cases of perinatal fetal death and the mortality rate was 33.3%. In 30 pregnant women, 17 cases were delivered by cesarean section, 13 cases of childbirth, gestational age> 37 weeks of cesarean section after delivery of fetal mortality rate compared with vaginal delivery was not significantly different (P <0.05). Conclusion The complications of multiple pregnancy and fetal mortality are high. Choosing the appropriate mode of delivery and delivery time can effectively reduce perinatal mortality.