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臀位分娩中阴道分娩与剖宫产的阿氏评分比较。

Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery.

作者信息

Fajar Jonny Karunia, Andalas Mohd, Harapan Harapan

机构信息

Medical Research Unit, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia.

Department of Obstetrics and Gynaecology, Syiah Kuala University, Banda Aceh, Indonesia.

出版信息

Tzu Chi Med J. 2017 Jan-Mar;29(1):24-29. doi: 10.4103/tcmj.tcmj_5_17.

DOI:10.4103/tcmj.tcmj_5_17
PMID:28757760
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5509192/
Abstract

OBJECTIVE

The mode of delivery in breech presentation (BP) is controversial. Several studies have reported the advantages and disadvantages of delivery mode in BP. The aim of this study was to compare the Apgar scores in BPs between vaginal and cesarean delivery.

MATERIALS AND METHODS

A retrospective study was conducted at Dr. Zainoel Abidin General Hospital from January 2010 to December 2012. Data on the mode of delivery and Apgar scores at 1 and 5 min for infants with a BP were extracted from the medical records. Logistic regression was employed to assess the correlation between mode of delivery and Apgar scores. In addition, a meta-analysis was conducted to summarize findings from other regions.

RESULTS

A total of 205 (3.9%) BPs among 5252 deliveries between January 2010 and December 2012 were analyzed for this study. There were 26% (52 cases) vaginal and 74% (153 cases) cesarean deliveries. The mode of delivery for BP had a significant association with Apgar score at 1 min (odds ratio [OR] 95% confidence interval [CI] = 6.462 [2.476-16.870], = 0.0001) and 5 min (OR 95% CI = 7.727 [1.416-42.175], = 0.018). Our meta-analysis showed that the delivery mode had a significant association with Apgar score in BP (OR: 3.69; 95% CI: 2.18-6.26, = 0.0001).

CONCLUSIONS

There was a significant association between Apgar scores in BPs and mode of delivery. Our results suggest better outcomes for cesarean than vaginal delivery in BPs.

摘要

目的

臀位分娩的分娩方式存在争议。多项研究报告了臀位分娩方式的优缺点。本研究的目的是比较臀位分娩经阴道分娩与剖宫产的阿氏评分。

材料与方法

于2010年1月至2012年12月在宰努勒·阿比丁综合医院进行一项回顾性研究。从医疗记录中提取臀位婴儿的分娩方式及出生后1分钟和5分钟时的阿氏评分数据。采用逻辑回归评估分娩方式与阿氏评分之间的相关性。此外，进行荟萃分析以总结其他地区的研究结果。

结果

本研究分析了2010年1月至2012年12月间5252例分娩中的205例（3.9%）臀位分娩。其中经阴道分娩26%（52例），剖宫产74%（153例）。臀位分娩方式与出生后1分钟时的阿氏评分有显著相关性（优势比[OR]95%置信区间[CI]=6.462[2.476 - 16.870]，P = 0.0001），与出生后5分钟时的阿氏评分也有显著相关性（OR 95% CI = 7.727[1.416 - 42.175]，P = 0.018）。我们的荟萃分析表明，分娩方式与臀位分娩的阿氏评分有显著相关性（OR：3.69；95% CI：2.18 - 6.26，P = 0.0001）。

结论

臀位分娩的阿氏评分与分娩方式之间存在显著相关性。我们的结果表明，臀位分娩时剖宫产的结局优于经阴道分娩。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/5509192/02db6e9c5151/TCMJ-29-24-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/5509192/881e355b4533/TCMJ-29-24-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/5509192/02db6e9c5151/TCMJ-29-24-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/5509192/881e355b4533/TCMJ-29-24-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/5509192/02db6e9c5151/TCMJ-29-24-g002.jpg

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