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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1996年1月至2003年6月96例双胎妊娠产妇按分娩方式分为阴道分娩组及剖宫产组,对其临床资料进行回顾性分析。结果两组的孕周、产后出血率比较差异无统计学意义(P>0.05),剖宫产组新生儿体重显著高于阴道分娩组(P<0.01),两组第1胎分娩新生儿窒息率差异无统计学意义(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 1996 to June 2003, 96 pregnant women with twin pregnancies were divided into vaginal delivery group and cesarean delivery group according to mode of delivery. The clinical data were retrospectively analyzed. Results There was no significant difference in gestational age and postpartum hemorrhage between the two groups (P> 0.05). The newborn weight of the cesarean section group was significantly higher than that of the vaginal delivery group (P <0.01) There was no significant difference in the rate of neonatal asphyxia between the second birth and the cesarean section (P> 0.05). Conclusion Correct choice of twin pregnancy delivery mode, will help reduce cesarean section rate and neonatal asphyxia.