Snyder Charles L, St Peter Shawn D
Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri 64108, USA.
Am J Perinatol. 2005 Oct;22(7):391-6. doi: 10.1055/s-2005-872591.
Cesarean delivery for infants with gastroschisis has not been clearly demonstrated to produce superior outcomes compared with vaginal delivery; however, it not clear whether this has been translated into common clinical practice. Therefore, we analyzed the shifts in type of delivery during the last three decades at our institution. The medical records of all infants with gastroschisis treated at our hospital during the last 33 years were reviewed. Two groups, based on mode of delivery, were compared with regard to demographics, treatment, and outcome. A statistical analysis of changes in type of delivery was performed, and compared with the neonatal population as a whole. A total of 222 patients with gastroschisis were analyzed: 103 delivered via cesarean section and 119 delivered via vaginal birth. Logistic regression demonstrated a significant trend toward cesarean delivery over time (p=0.0001). The odds ratio indicated a 16% per year increase in the chance of cesarean delivery. There has been a significant trend toward cesarean delivery in patients with gastroschisis treated at our institution.
与阴道分娩相比，剖宫产对患有腹裂的婴儿是否能产生更好的结果尚未得到明确证实；然而，目前尚不清楚这一点是否已转化为普遍的临床实践。因此，我们分析了过去三十年我院分娩方式的变化。回顾了我院过去33年中所有腹裂婴儿的病历。根据分娩方式将两组在人口统计学、治疗方法和结果方面进行了比较。对分娩方式的变化进行了统计分析，并与整个新生儿群体进行了比较。共分析了222例腹裂患者：103例通过剖宫产分娩，119例通过阴道分娩。逻辑回归显示随着时间的推移剖宫产有显著趋势（p=0.0001）。优势比表明剖宫产的几率每年增加16%。在我院接受治疗的腹裂患者中，剖宫产有显著趋势。
