简介: 【摘要】 目的 分析单胎臀位行外转胎位术的影响因素及妊娠结局。方法 收集产检单胎臀位妊娠的 102例患者临床资料,比较胎头外倒转成功者(成功组)与胎头外倒转失败者(失败组)产妇的年龄、外倒转孕周、孕前 BMI、孕期 BMI增加、产次、羊水深度、胎盘位置、脐带绕颈等危险因素,以及外转胎位术后妊娠结局(包括分娩的间隔、孕周、方式和新生儿 pH值、黄疸、转儿科 ICU、早产等差异。结果 102例中,成功 63例( 61.8%),失败 39例( 38.2%),成功组与失败组患者的年龄、实施外转胎位术的孕周、孕前 BMI、孕期 BMI增加、产次、羊水深度、胎盘位置、脐带绕颈及新生儿体质量比较差异均无统计学意义( P均 >0.05)。与失败组比较,成功组患者的分娩间隔和分娩孕周均较长、阴道顺产率较高( P均 <0.05)。 2组新生儿的 pH值、黄疸和转科率比较差异均无统计学意义( P均 >0.05)。结论 对单胎臀位妊娠实施外转胎位术,可增加阴道顺产率,降低剖宫产率。 【关键词】 外转胎位术 ;分娩 ;影响因素 ;妊娠结局 [Abstract] Objective To analyze the influencing factors and pregnancy outcome of single breech transfer. Methods the clinical data of 102 cases of single breech pregnancy were collected, and the age, gestational weeks, BMI before pregnancy, BMI increase during pregnancy, delivery times, amniotic fluid depth, placental position, umbilical cord around the neck and the pregnancy outcome (including the interval of delivery) were compared , gestational week, mode and neonatal pH value, jaundice, transfer to pediatric ICU, premature delivery and other differences. Results among 102 cases, 63 cases were successful (61.8%) and 39 cases failed (38.2%). There was no significant difference in age, gestational age, BMI before pregnancy, BMI increase during pregnancy, delivery time, amniotic fluid depth, placental position, umbilical cord around neck and newborn body mass between the successful group and the failed group (P > 0.05). Compared with the failure group, the delivery interval and gestational weeks of the successful group were longer, and the vaginal delivery rate was higher (P < 0.05). There was no significant difference in pH value, jaundice and transfer rate between the two groups (P > 0.05). Conclusion transvaginal delivery can increase the rate of vaginal delivery and decrease the rate of cesarean section.
简介:摘要目的分析单胎臀位行外转胎位术的影响因素及妊娠结局。方法收集产检单胎臀位妊娠的102例患者临床资料,比较胎头外倒转成功者(成功组)与胎头外倒转失败者(失败组)产妇的年龄、外倒转孕周、孕前BMI、孕期BMI增加、产次、羊水深度、胎盘位置、脐带绕颈等危险因素,以及外转胎位术后妊娠结局(包括分娩的间隔、孕周、方式和新生儿pH值、黄疸、转儿科ICU、早产等差异。结果102例中,成功63例(61.8%),失败39例(38.2%),成功组与失败组患者的年龄、实施外转胎位术的孕周、孕前BMI、孕期BMI增加、产次、羊水深度、胎盘位置、脐带绕颈及新生儿体质量比较差异均无统计学意义(P均>0.05)。与失败组比较,成功组患者的分娩间隔和分娩孕周均较长、阴道顺产率较高(P均<0.05)。2组新生儿的pH值、黄疸和转科率比较差异均无统计学意义(P均>0.05)。结论对单胎臀位妊娠实施外转胎位术,可增加阴道顺产率,降低剖宫产率。
简介:摘要目的分析单胎臀位行外转胎位术的影响因素及妊娠结局。方法收集产检单胎臀位妊娠的102例患者临床资料,比较胎头外倒转成功者(成功组)与胎头外倒转失败者(失败组)产妇的年龄、外倒转孕周、孕前BMI、孕期BMI增加、产次、羊水深度、胎盘位置、脐带绕颈等危险因素,以及外转胎位术后妊娠结局(包括分娩的间隔、孕周、方式和新生儿pH值、黄疸、转儿科ICU、早产等差异。结果102例中,成功63例(61.8%),失败39例(38.2%),成功组与失败组患者的年龄、实施外转胎位术的孕周、孕前BMI、孕期BMI增加、产次、羊水深度、胎盘位置、脐带绕颈及新生儿体质量比较差异均无统计学意义(P均>0.05)。与失败组比较,成功组患者的分娩间隔和分娩孕周均较长、阴道顺产率较高(P均<0.05)。2组新生儿的pH值、黄疸和转科率比较差异均无统计学意义(P均>0.05)。结论对单胎臀位妊娠实施外转胎位术,可增加阴道顺产率,降低剖宫产率。
简介: 【摘要】 目的 分析单胎臀位行外转胎位术的影响因素及妊娠结局。方法 收集产检单胎臀位妊娠的 102例患者临床资料,比较胎头外倒转成功者(成功组)与胎头外倒转失败者(失败组)产妇的年龄、外倒转孕周、孕前 BMI、孕期 BMI增加、产次、羊水深度、胎盘位置、脐带绕颈等危险因素,以及外转胎位术后妊娠结局(包括分娩的间隔、孕周、方式和新生儿 pH值、黄疸、转儿科 ICU、早产等差异。结果 102例中,成功 63例( 61.8%),失败 39例( 38.2%),成功组与失败组患者的年龄、实施外转胎位术的孕周、孕前 BMI、孕期 BMI增加、产次、羊水深度、胎盘位置、脐带绕颈及新生儿体质量比较差异均无统计学意义( P均 >0.05)。与失败组比较,成功组患者的分娩间隔和分娩孕周均较长、阴道顺产率较高( P均 <0.05)。 2组新生儿的 pH值、黄疸和转科率比较差异均无统计学意义( P均 >0.05)。结论 对单胎臀位妊娠实施外转胎位术,可增加阴道顺产率,降低剖宫产率。 【关键词】 外转胎位术 ;分娩 ;影响因素 ;妊娠结局 【 Abstract】 Objective To analyze the influencing factors and pregnancy outcomes of single breech presentation. Methods The clinical data of 102 patients with single breech pregnancy were collected. The maternal age, external reversal gestational age, pre-pregnancy BMI, and pregnancy were compared between those with successful extra-fetal head reversal (successful group) and those with extra-fetal head reversal failure (failed group). Increased BMI, parity, amniotic fluid depth, placental position, umbilical cord around the neck and other risk factors, as well as postoperative pregnancy outcomes (including interval between delivery, gestational age, mode and neonatal pH, jaundice, pediatric ICU, preterm birth) The difference was found. Among the 102 cases, 63 cases (61.8%) were successful, 39 cases (38.2%) were failure, the age of the successful group and the failed group, the gestational age of the transposition of the fetus, the pre-pregnancy BMI, the increase of BMI during pregnancy, and the production There were no significant differences in the amniotic fluid depth, placental position, umbilical cord around the neck and neonatal body mass (P>0.05). Compared with the failed group, the delivery interval and the gestational weeks were longer in the successful group. The yields were higher (P<0.05). There was no significant difference in the pH value, jaundice and transfer rate between the two groups (P>0.05). Conclusion The external fetal position was performed on single breech pregnancy. Can increase the vagina In terms of yield, the cesarean section rate is lowered.