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目的探讨足月妊娠可疑羊水过少的孕妇不同分娩方式的新生儿结局。方法回顾性分析2011年1月至2012年6月住我院分娩的648例可疑羊水过少的孕妇,观察其直接剖宫产、胎心监护呈反应型经阴道分娩、经阴道试产过程中因胎儿窘迫中转剖宫产各组的新生儿窒息率及死亡率。结果直接剖宫产组、胎心监护呈反应型经阴道分娩组其新生儿窒息率及死亡率比较差异无统计学意义(P>0.05),经阴道试产过程中因胎儿窘迫中转剖宫产组其新生儿窒息率虽有略所上升,但与直接剖宫产组比较差异无统计学意义(P>0.05)。结论可疑羊水过少不能做为直接剖宫产的指征,如胎心监护呈反应型,可在严密观察下经阴道试产,试产过程中如发现胎儿窘迫及时剖宫产,经阴道试产不会使新生儿窒息率及死亡率明显上升。
Objective To investigate neonatal outcomes of different modes of delivery in pregnant women with suspect oligohydramnios in term pregnancy. Methods A retrospective analysis of 648 pregnant women with suspected oligohydramnios who gave birth in our hospital from January 2011 to June 2012 was retrospectively analyzed. The direct cesarean section was observed. The fetal heart guardian was reactive vaginal delivery. During the vaginal trial Fetal distress due to cesarean section in neonatal asphyxia and mortality. Results There was no significant difference in neonatal asphyxia rate and mortality between direct cesarean section and fetal vaginal delivery group (P> 0.05). During vaginal trial, cesarean section was changed due to fetal distress Although the neonatal asphyxia rate slightly increased, but no significant difference compared with direct cesarean section (P> 0.05). Conclusions Suspected oligohydramnios can not be used as an indication of direct cesarean section, such as fetal heart rate monitoring was reactive, can be closely observed by the vaginal trial production, during the trial if found fetal distress and timely cesarean section, vaginal Birth does not make neonatal asphyxia and mortality significantly increased.