分类号：R714.23
出版年·卷·期（页码）：2013·5·第3期（1-3）
DOI:
20130301
-----摘要：-------------------------------------------------------------------------------------------
目的 探讨分娩时机及分娩方式的选择与双胎妊娠结局的关系。方法 2012年1月至2013年7月在本院分娩的双胎妊娠593例，根据孕周分为28+1～32周、32+1～36周、36+1～40周3个阶段，再根据分娩方式分为阴道分娩组和剖宫产组，记录每例产妇的年龄、孕周、分娩方式、胎方位、新生儿体重、新生儿1～5分钟Apgar评分、产后24小时出血量及妊娠合并症，分析比较不同孕周分娩方式与妊娠结局的关系。结果 ①孕周≤32周，阴道分娩组围产儿死亡率明显高于剖宫产组（P<0.05）；孕周＞32周，2组围产儿死亡率和新生儿窒息率无统计学差异（P＞0.05）；②不同孕周剖宫产组产后出血率均明显高于阴道分娩组（P<0.05）。结论 双胎妊娠的妊娠结局与分娩时机、分娩方式、妊娠合并症、新生儿体重关系密切；适当控制双胎妊娠剖宫产率，有利于减少产后出血发生率，改善妊娠结局。
-----英文摘要：---------------------------------------------------------------------------------------
ObjectiveTo study the relationship between delivery route，delivery time and pregnancy outcome in twin pregnancy. Method 593 twin pregnancy women were divided into three phases according to the gestational age, and than divided into two groups, which were vaginal delivery and cesarean section. Record maternal age, gestational age, mode of delivery, fetal position, birth weight, neonatal Apgar score, postpartum hemorrhage and pregnancy complications of each cases, analyze the relationship between delivery mode in different phase and adverse pregnancy outcome. Results There is no difference in perinatal mortality and neonatal asphyxia between two groups over 32 gestation weeks（P＞0.05）, however perinatal mortality of delivery group is significant higher than cesarean section group while gestation age below 32 weeks（P<0.05）. And the incidence of postpartum hemorrhage in cesarean section group is statistically higher than delivery group in different phases（P<0.05）.Conclusions There is close relationship between pregnancy outcome and delivery time, delivery mode, pregnancy complications, birth weigh. Control the rate of cesarean section properly is benefit to reduce the incidence of postpartum hemorrhage and improve pregnancy outcomes.
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李婵娟,丁虹娟,陈敏.双胎分娩妊娠时机、分娩方式及妊娠结局分析-附593例分析.中国产前诊断杂志,2013,5(3):1-3.
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