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[羊水胎粪污染情况下新生儿的临床状况及分娩类型和妊娠并发症]

[Clinical condition of the newborns and the type of labor and pregnancy complications in cases of meconium in the amniotic fluid].

作者信息

Wójcicka-Jagodzińska J, Romejko E, Smolarczyk R, Kuczyńska-Sicińska J

出版信息

Ginekol Pol. 1989 Oct-Dec;60(10-12):494-7.

PMID:2702193
Abstract

The studied material comprised 36 newborns and their mothers, among them 12 newborns had meconium in the amniotic fluid (study group) and 24 newborns with clear amniotic fluid served as controls. The fluids were studied biochemically. In both compared groups the analysed factors were: 1) week of labour, 2) body weight and length, 3) clinical condition of the newborn by the Apgar score, 4) type of labour, 5) type of pregnancy complications in mothers. The results were subjected to statistical analysis. It was found that meconium presence in the amniotic fluid correlated with the presence of clinical symptoms suggesting intrauterine asphyxia of the fetus, and the number of caesarean sections was greater in this group. A correlation was noted between the presence of meconium in the amniotic fluid and worse clinical condition of the newborn.

摘要

研究材料包括36名新生儿及其母亲,其中12名新生儿的羊水有胎粪(研究组),24名羊水清澈的新生儿作为对照组。对这些液体进行了生化研究。在两个比较组中,分析的因素有:1)分娩周数,2)体重和身长,3)根据阿氏评分评估的新生儿临床状况,4)分娩类型,5)母亲妊娠并发症类型。对结果进行了统计分析。发现羊水中存在胎粪与提示胎儿宫内窒息的临床症状有关,且该组剖宫产的数量更多。还注意到羊水中存在胎粪与新生儿较差的临床状况之间存在相关性。

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