四种断脐时机对母儿结局的影响

发布时间：2019-06-18 13:37

【摘要】：目的探讨不同的断脐时机对母儿结局的影响。方法选取河北医科大学第一医院2013年1-12月分娩的400例产妇随机分为四组:早断脐组,晚断脐1组、晚断脐2组、晚断脐3组,每组各100例,比较断脐时机对产妇产后的出血量、产妇血红蛋白值、新生儿Apgar评分、新生儿生后72 h血红蛋白值、新生儿胆红素峰值的影响。结果早断脐组产妇产后的出血量、产后血红蛋白值、新生儿1 min和5 min Apgar评分及新生儿胆红素峰值与晚断脐组比较,差异均无统计学意义(P0.05);三种晚断脐组之间产妇产后的出血量、产后血红蛋白值、新生儿1 min和5 min Apgar评分及新生儿胆红素峰值比较,差异均无统计学意义(P0.05);晚断脐组新生儿生后72 h毛细血管血红蛋白值高于早断脐组(P0.05);三种晚断脐组之间新生儿生后72 h毛细血管血红蛋白值比较,差异无统计学意义(P0.05)。结论三种晚断脐方法均增加了新生儿生后72 h血红蛋白值,不增加新生儿胆红素水平,对新生儿是有益的,未显示晚断脐对产妇有不良影响,分娩应遵循自然规律,等待胎盘娩出后断脐,以防止过早断脐可能潜在的不良影响。
[Abstract]:Objective to investigate the effect of different time of umbilical cord breakage on maternal and fetal outcome. Methods 400 parturients who gave birth in the first Hospital of Hebei Medical University from January to December 2013 were randomly divided into four groups: early umbilical cord group, late umbilical cord weanding group 1, late umbilical cord transection group 2 and late umbilical cord transection group, each group (n = 100). The effects of umbilical cord breaking time on postpartum bleeding volume, maternal hemoglobin value, neonatal Apgar score, neonatal hemoglobin value and neonatal bilirubin peak value were compared. Results there was no significant difference in postpartum bleeding volume, postpartum hemoglobin value, neonatal 1 min and 5 min Apgar score and neonatal bilirubin peak value between the early umbilical cord group and the late umbilical cord group (P 0.05), but there was no significant difference in postpartum bleeding volume, postpartum hemoglobin value, neonatal 1 min and 5 min Apgar score and neonatal bilirubin peak value between the three late umbilical cord groups (P 0.05), but there was no significant difference between the three late umbilical cord groups (P 0.05), but there was no significant difference in postpartum bleeding volume, postpartum hemoglobin value, neonatal 1 min and 5 min Apgar score and neonatal bilirubin peak value between the three late umbilical cord groups (P 0.05). The value of capillary hemoglobin in the late umbilical cord group was higher than that in the early umbilical cord group at 72 hours after birth (P 0.05), but there was no significant difference among the three late umbilical cord groups at 72 hours after birth (P 0.05), but there was no significant difference in the capillary hemoglobin value among the three late umbilical cord groups at 72 h after birth (P 0.05). Conclusion the three methods of late umbilical cord transection can increase the hemoglobin value at 72 hours after birth, and do not increase the neonatal bilirubin level, which is beneficial to the newborn. It is not shown that the late umbilical cord transection has a negative effect on the parturient. Delivery should follow the natural law and wait for the placenta to break the umbilical cord after delivery in order to prevent the potential adverse effects of premature umbilical cord breakage.
【作者单位】：河北医科大学第一医院产科;
【分类号】：R714

【参考文献】