实用妇产科杂志2013，Vol.29Issue(8)：609-612,4.
703例水中分娩对新生儿窒息的影响分析
Analysis on Impact of Underwater Birth to Neonatal Asphyxia 703 Cases
肖兵 1陈晓琴 1蒋庆源 1高岩 1熊庆1
作者信息
摘要
Abstract
Objective:To investigate whether underwater birth would increase the risk ot neonatal aspnyxia and severe respiratory complication.Methods:From April 2012 to March 2013,703 pregnant women had given birth underwater in Sichuan Provincial Hospital for Women & Children.Among them 153 cases were underwater labor,550 cases were underwater delivery.658 cases normally delivered during the same period enrolled in as control group.The morbidity of neonatal asphyxia and severe respiratory complication were compared between the underwater and normal birth groups.Results:There were 13 neonatal asphyxia cases in underwater birth group,the morbidity was 1.8％ (13/703).There were 5 cases in underwater labor subgroup,the morbidity of neonatal asphyxia was 3.3％ (5/153),and 8 cases in underwater delivery subgroup,the morbidity of neonatal asphyxia was 1.5％ (8/550).In control group,there were 6 neonatal asphyxia cases,the morbidity of neonatal asphyxia was 0.9％.All of the neonatal asphyxia cases were mild ones according the Apgar score except for 1 case in underwater labor subgroup who need nasal continuous positive airway pressure (NCPAP).But 2 cases in underwater delivery subgroup whose Apgar score were 6 at 1 minute after birth were complicated with severe meconium aspiration syndrome.Mechanic ventilation was used in these 2 cases.Conclusions:Underwater birth may increase the morbidity of neonatal asphyxia;underwater delivery may increase risk of neonatal severe respiratory complication.关键词
水中分娩/新生儿窒息/呼吸并发症Key words
Underwater birth/ Neonatal asphyxia/ Respiratory complication分类
医药卫生引用本文复制引用
肖兵,陈晓琴,蒋庆源,高岩,熊庆..703例水中分娩对新生儿窒息的影响分析[J].实用妇产科杂志,2013,29(8):609-612,4.
