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目的:探讨第二产程剖宫产对母婴的影响。方法:对2006年1月～2008年12月第二产程剖宫产128例资料进行回顾性分析,并与同期第一产程剖宫产514例为对照,分析比较两组的产后岀血率、术中出血量及术中术后并发症如:切口撕裂、产后岀血、术后病率、腹部切口愈合不良的发生率;新生儿并发症如:新生儿窒息、吸入性肺炎、颅内岀血的发生率。结果:第二产程组术中出血量及产后岀血的发生率明显高于第一产程组(P<0.05),术后病率及切口愈合不良的发生率也明显高于对照组(P<0.01);第二产程剖宫产新生儿窒息及吸入综合征、颅内出血等并发症与第一产程剖宫产相比明显增加(P<0.05)。结论:第二产程剖宫产较一般头位急症剖宫产对母婴更为不利,因此,在掌握适当指征,避免不必要剖宫产,降低剖宫产率的同时,应尽量避免第二产程剖宫产,减少母婴并发症。
Objective: To investigate the effect of cesarean section on mother-infant in the second stage of labor. Methods: The data of 128 cases of cesarean section in the second stage of labor between January 2006 and December 2008 were retrospectively analyzed. Compared with 514 cases of cesarean section in the first stage of labor in the same period, the postpartum hemorrhea rate, Intraoperative bleeding and intraoperative and postoperative complications such as: incision tear, postpartum hematuria, postoperative morbidity, incision poor incidence of incision; neonatal complications such as: neonatal asphyxia, aspiration pneumonia, intracranial The incidence of blood. Results: The incidence of postoperative bleeding and blood loss in the second stage of labor was significantly higher than that in the first stage of labor (P <0.05). The incidence of postoperative morbidity and incision healing was also significantly higher than that of the control group (P < 0.01). Complications of neonatal asphyxia, inhalation syndrome and intracranial hemorrhage during cesarean section in the second stage of labor were significantly increased compared with cesarean section in the first stage of labor (P <0.05). CONCLUSIONS: Cesarean section in the second stage of labor is more unfavorable than maternal and child cesarean section in general head-position emergency cesarean section. Therefore, while mastering appropriate indications, avoiding unnecessary cesarean section and reducing cesarean section rate, Second cesarean section to reduce maternal and child complications.