双胎妊娠中不同分娩方式对新生儿窒息的影响

摘要

Objective:To investigate the effects of different delivery modes on the neonatal asphyxia in gemellary pregnancy. Methods:The clinical data of 144 cases of puerperae with gemellary pregnancy were analyzed retrospectively,and the delivery modes and neonatal asphyxia were analyzed.Results:38 cases of newborns had neonatal asphyxia and the incidence of neonatal asphyxia was 13.2% .The incidence of neonatal asphyxia in newborns with gestational aged below 34 weeks was significantly higher than that of newborn with gestational aged over 34 weeks (P<0.05).The neonatal asphyxia incidence of newborns with vaginal delivery was significantly higher than that of cesarean section (P<0.05).The incidence of neonatal asphyxia in second newborns was significantly higher than the first newborns (P<0.05).Conclusion:The incidence of neonatal asphyxia by vaginal delivery in Gemellary pregnancy was higher.The lower the gestational age,the higher the incidence of asphyxia.The incidence of neonatal asphyxia in second newborns was higher than that of the first newborns.%目的：探讨双胎妊娠中不同分娩方式对新生儿窒息的影响。方法：回顾性分析双胎妊娠产妇144例的临床资料，分析分娩方式及新生儿窒息情况。结果：新生儿窒息38例，新生儿窒息发生率13.2%。孕周＜34周新生儿窒息发生率26.3%，孕周≥34新生儿窒息发生率8.5%，孕周＜34周的新生儿窒息发生率明显高于≥34周的新生儿(P＜0.05)。经阴道分娩新生儿窒息发生率明显高于经剖宫产分娩的新生儿(P＜0.05)。第1新生儿窒息发生率5.6%，第2新生儿窒息发生率20.8%，第2新生儿窒息发生率明显高于第1新生儿(P＜0.05)。结论：双胎妊娠中经阴道分娩新生儿窒息发生率较高，孕周越小，窒息发生率越高，第2新生儿比第1新生儿窒息发生率较高。