【摘 要】
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目的：探讨双胎妊娠分娩方式。方法：总结我院７９例双胎妊娠不同分娩方式，对新生儿的影响。结果：阴道分娩５６例，其中胎头吸引１１人次，臀牵引 ２８人次，第一或（和）第二新生儿窒息数３６位占３２．１％，足３６孕周者２５人占２６．６％，死
【机 构】
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河南省新密市第一人民医院! 新密市452300,河南省新密市第一人民医院! 新密市452300,河南省新密市第一人民医院! 新密市452300
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目的：探讨双胎妊娠分娩方式。方法：总结我院７９例双胎妊娠不同分娩方式，对新生儿的影响。结果：阴道分娩５６例，其中胎头吸引１１人次，臀牵引 ２８人次，第一或（和）第二新生儿窒息数３６位占３２．１％，足３６孕周者２５人占２６．６％，死产５例占８．９％；剖宫产２３例出现新生儿窒息４位占８．７％。产后出血阴道分娩与剖宫产二者相比较无显著差异。结论：对部分双胎妊娠胎位不正或有严重并发症者宜适当放宽剖宫产指征。
Objective: To explore the twin gestational mode of delivery. Methods: To summarize the effects of different modes of delivery on 79 newborn babies in our hospital. Results: 56 cases of vaginal delivery, of which 11 were fetus head, hip traction 28 people, the first or (and) the number of second newborn asphyxia 36.1 32.1%, 36 gestational weeks 25 25.66% %, 5 cases of stillbirth accounted for 8.9%; cesarean section in 23 cases of neonatal asphyxia 4 8.7%. Postpartum hemorrhage vaginal delivery and cesarean section compared to the two no significant difference. Conclusion: Some twin pregnancies or fetal malposition is serious complications should be appropriate to relax cesarean indications.
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