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目的:探讨第二产程异常时产钳助产与剖宫产对母婴的影响,为第二产程异常时分娩方式的选择提供一定指导。方法:选取2009年6月至2012年6月在我院进行分娩的产妇3460例进行回顾性分析,其中第二产程异常进行产钳助产的产妇60例作为产钳助产组,第二产程异常进行剖宫产的产妇54例作为剖宫产组,观察两组从决策到分娩时间、对产妇的影响和对新生儿的影响。结果:产钳助产组在决策到分娩时间上明显少于剖宫产组,在产妇出血、产褥感染、新生儿窒息上明显低于剖宫产组,存在统计学意义(p<0.05);两组在软产道裂伤、新生儿面部擦伤、头皮血肿和新生儿肺炎上无显著差异,不存在统计学意义(p>0.05)。结论:在第二产程异常时,产钳助产是解决难产的重要手段,能够降低剖宫产率,在产科处理中具有重要作用。
Objective: To investigate the effect of forceps-assisted abortion and cesarean section on mother-infant in the second stage of labor abnormality and to provide some guidance for the choice of mode of delivery in the second stage of labor abnormality. Methods: A retrospective analysis was performed on 3460 women who gave birth in our hospital from June 2009 to June 2012. Among them, 60 were maternal obstetric forceps in the second stage of labor as obstetric forceps and the second stage was abnormal Cesarean section 54 cases of maternal as cesarean section group, observe the two groups from decision-making to delivery time, the impact on mothers and neonates. Results: Obstetrics and Gynecology midwifery group was significantly less than the cesarean section in decision making to delivery time, and was significantly lower than that of cesarean section in maternal hemorrhage, puerperal infection and neonatal asphyxia (p <0.05). There was no significant difference between the two groups in soft birth canal laceration, neonatal facial bruise, scalp hematoma and neonatal pneumonia (p> 0.05). Conclusion: In the second stage of labor abnormality, forceps midwifery is an important means to solve the problem of dystocia, can reduce the rate of cesarean section, plays an important role in obstetric treatment.