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目的:研究双胎妊娠分娩方式与妊娠结局的关系。方法:将该院2008年1月～2013年5月间阴道分娩的62例双胎产妇与同时期行剖宫产术的62例双胎作比较,对其临床资料进行回顾性分析。结果:剖宫产组孕周、新生儿体重显著大于阴道分娩组,差异有统计学意义(P<0.05),产后出血率也显著高于阴道分娩组,差异有统计学意义(P<0.05)。新生儿窒息率比较:剖宫产组总窒息率明显低于阴道分娩组,差异有统计学意义(P<0.05),其中头-头位两组比较差异无统计学意义(P>0.05),而当其中一胎非头位时,剖宫产组的窒息率明显低于阴道分娩组,差异有统计学意义(P<0.05)。结论:双胎妊娠分娩风险高,选择合理的分娩方式,可减少产后出血和新生儿窒息发生率,在一定程度上降低母儿风险。
Objective: To study the relationship between twin pregnancy delivery and pregnancy outcome. Methods: A total of 62 pregnant women born vaginally from January 2008 to May 2013 in our hospital were compared with 62 pregnant women undergoing cesarean delivery during the same period. The clinical data were retrospectively analyzed. Results: The gestational age and newborn weight of the cesarean section group were significantly higher than that of the vaginal delivery group (P <0.05), and the rate of postpartum hemorrhage was significantly higher than that of the vaginal delivery group (P <0.05) . Neonatal asphyxia rate: total cesarean section group asphyxia was significantly lower than the vaginal delivery group, the difference was statistically significant (P <0.05), which head-head position two groups showed no significant difference (P> 0.05) When one of the non-head position of a fetus, cesarean section asphyxia was significantly lower than the vaginal delivery group, the difference was statistically significant (P <0.05). Conclusion: The high risk of twin pregnancy delivery, choose a reasonable mode of delivery, can reduce the incidence of postpartum hemorrhage and neonatal asphyxia, to a certain extent, reduce the risk of maternal and child.