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目的探讨双胎妊娠的分娩方式与妊娠结局的关系。方法将2009年1月至2010年12月98例双胎妊娠产妇按分娩方式分为阴道分娩组和剖宫产组,对其临床资料进行回顾性分析。结果两组的孕周、产后出血率比较无显著性意义(P>0.05),剖宫产组新生儿体重显著高于阴道分娩组(P<0.05),两组第一胎分娩新生儿窒息率差异无显著性意义(P>0.05),而第2胎分娩新生儿窒息率剖宫产组显著低于阴道分娩组(P<0.05)。结论正确选择双胎妊娠的分娩方式,将有助于降低剖宫产率及新生儿窒息率。
Objective To investigate the relationship between the mode of delivery and pregnancy outcome in twin pregnancy. Methods From January 2009 to December 2010, 98 cases of pregnant women with twin pregnancy were divided into vaginal delivery group and cesarean section group according to mode of delivery. The clinical data were retrospectively analyzed. Results The gestational age and postpartum hemorrhage rate in the two groups had no significant difference (P> 0.05). The newborn weight in the cesarean section group was significantly higher than that in the vaginal delivery group (P <0.05). The asphyxia rate (P> 0.05), while the incidence of neonatal asphyxia at second birth in cesarean section group was significantly lower than that in vaginal delivery group (P <0.05). Conclusion Correct choice of twin pregnancy delivery mode, will help reduce cesarean section rate and neonatal asphyxia.