生命科学仪器2023，Vol.21Issue(3)：124-127,4.DOI:10.11967/2023210623
产时超声在第二产程超过2h产妇中的应用及母婴结局分析
The application of intrapartum ultrasound in the second stage of labor for more than 2 hours and the analysis of maternal and infant outcomes
摘要
Abstract
Objective:Analyze the application value of prenatal ultrasound in postpartum women with a second stage of labor exceeding 2 hours and its impact on maternal and infant outcomes.Methods:113 primiparous women born in our hospital from October 2021 to December 2022 with a second stage of labor greater than 2 hours were selected as the study subjects for observation group,and 100 primiparous women born in the same period with a second stage of labor less than 2 hours were selected as control group.Both groups of pregnant women were monitored by ultrasound during delivery to analyze the maternal and infant outcomes and differences in clinical parameters be-tween the two groups.Result:The natural childbirth rate of observation group was significantly lower than that of control group;Fetal anti-counterfeiting in non occipital anterior position was significantly higher than that in con-trol group;The Angle of the Occipitoposterior Diameter(AOP)index was significantly lower than that of control group,and the Head-Perineum Distance(HPD)was significantly higher than that of control group;The incidence of adverse pregnancy outcomes in observation group was significantly higher than that in control group(P＜0.05 for all).There is a statistical difference in ultrasound parameter indicators between those who have adverse pregnancy outcomes and those who have not:fetal anti-counterfeiting non occipital anterior position,AOP,HPD;Incorpo-rating the above indicators into the logistic regression model,two joint values were obtained through regression co-efficients.Furthermore,the ROC curve showed that the joint prediction AUC of the two items was 0.961,with sensitivity and specificity of 97.8%and 86.0%.Conclusion:Ultrasound has high predictive value for predicting ad-verse pregnancy outcomes in mothers and infants with a labor process exceeding 2 hours.关键词
产时超声/第二产程/初产妇/母婴结局Key words
Intrapartum ultrasound/Second stage of labor/Primiparous women/Maternal and infant outcomes分类
医药卫生引用本文复制引用
陆方英,朱学英,邢芳,张秋鸿..产时超声在第二产程超过2h产妇中的应用及母婴结局分析[J].生命科学仪器,2023,21(3):124-127,4.基金项目
湖州市公益性应用研究医卫一般项目(2021GY09) （2021GY09）
