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延期妊娠引产后剖宫产的危险因素分析

孙曼妮 陈海英 孟涛

中国医科大学学报2018,Vol.47Issue(2):111-113,118,4.
中国医科大学学报2018,Vol.47Issue(2):111-113,118,4.DOI:10.12007/j.issn.02584646.2018.02.004

延期妊娠引产后剖宫产的危险因素分析

Analysis of Risk Factors for Cesarean Section after Induction of Late-term Pregnancy

孙曼妮 1陈海英 1孟涛1

作者信息

  • 1. 中国医科大学附属第一医院产科, 沈阳 110001
  • 折叠

摘要

Abstract

Objective To explore the risk factors for cesarean section after induction of late-term pregnancy. Methods This study enrolled 275 primiparas with a single cephalic fetal presentation,admitted to our hospital between December 2010 and December 2016 for induction of late-term pregnancy. After induction,80 underwent cesarean section and 195 had a normal vaginal delivery. Clinical data were collected and analyzed retrospectively. Single factor analysis and two categories of logistic regression analysis were used to determine the independent risk factors for cesarean section after induction of late-term pregnancy. Results Single factor analysis showed that the differences between the two groups in maternal height,cervical Bishop score before induction of labor,latent phase,intrapartum amniotomy,intrapartum oxytocin,meconium stained amniotic fluid,and birth weight were statistically significant (P < 0. 05). Multivariate analysis showed that maternal height,cervical Bishop score before induction of labor,and latent phase were independent risk factors for cesarean section after induction of late-term pregnancy. Conclusion Late-term pregnant primiparas with short stature,low Bishop score,or a long latent phase should have comprehensive prenatal maternal-fetal assessment,and a reasonable delivery mode should be chosen to avoid adverse outcomes.

关键词

剖宫产/延期妊娠/引产/危险因素

Key words

cesarean section/late-term pregnancy/induction of labor/risk factors

分类

医药卫生

引用本文复制引用

孙曼妮,陈海英,孟涛..延期妊娠引产后剖宫产的危险因素分析[J].中国医科大学学报,2018,47(2):111-113,118,4.

基金项目

国家自然科学基金(81270711) (81270711)

中国医科大学学报

OA北大核心CSCDCSTPCD

0258-4646

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