Milasinović L, Bregun-Dragić N, Nikolić L, Radeka G
Klinika za ginekologiju i akuserstvo, Novi Sad.
Med Pregl. 1992;45(7-8):297-300.
The prospective study was carried out in 86 mothers and their newborns born in breech presentation; 41 were delivered by cesarean section, 45 vaginally. The incidence of prepathologic and pathologic CTGs was rather high in both groups (34.14% and 24.34%) as well as the presence of meconium in the amniotic fluid (34.15% and 22.22%). The infants delivered by cesarean section have significantly (p < 0.05) higher pH levels (7.28 +/- 0.068) than those delivered vaginally (7.25 +/- 0.093). The acidosis incidence (pH +/- 7.20) is significantly (p < 0.01) lower in the first (9.76%) than in the second (26.66%) group. In the early neonatal period 24.35% of the children in the first group and 35.55% of the children in the second group developed a disease (p < 0.05). The difference in the morbidity rate can also be found in the fact that in the studied group no intracranial hemorrhage was diagnosed while in the control group it was found in 17.77% of the children. Manifest cerebral disfunction syndrome was detected in 2.44% of the children delivered by cesarean section and in 8.88% of the children delivered vaginally. One child (2.22%) delivered with manual help has died. The morbidity of the mothers was significantly (p < 0.05) higher in women who gave birth abdominally (17.68%) than in those who gave birth vaginally (8.88%).
这项前瞻性研究对86例臀位分娩的母亲及其新生儿进行；41例通过剖宫产分娩，45例经阴道分娩。两组中病理性和准病理性CTG的发生率相当高（分别为34.14%和24.34%），羊水胎粪污染情况也较高（分别为34.15%和22.22%）。剖宫产分娩的婴儿pH值水平（7.28±0.068）显著高于经阴道分娩的婴儿（7.25±0.093）（p<0.05）。第一组酸中毒发生率（pH≤7.20）显著低于第二组（分别为9.76%和26.66%）（p<0.01）。在新生儿早期，第一组24.35%的儿童和第二组35.55%的儿童患病（p<0.05）。发病率的差异还体现在研究组未诊断出颅内出血，而对照组17.77%的儿童被诊断出颅内出血。剖宫产分娩的儿童中2.44%被检测出明显的脑功能障碍综合征，经阴道分娩的儿童中这一比例为8.88%。1例助产分娩的儿童死亡（2.22%）。剖宫产分娩母亲的发病率（17.68%）显著高于经阴道分娩的母亲（8.88%）（p<0.05）。
