一项关于计划性剖宫产与阴道分娩在双胎妊娠中的比较的随机试验。
A randomized trial in comparison between planned cesarean and vaginal delivery on twin pregnancy.
机构信息
Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Department of Obstetrics and Gynecology, Dalian Municipal Women and Children's Medical Center, Dalian, Liaoning, China.
出版信息
Ginekol Pol. 2020;91(10):600-606. doi: 10.5603/GP.a2020.0094.
OBJECTIVE
We explored the planned cesarean to vaginal delivery at the risk of fetal or neonatal death or serious neonatal morbidity in women with twin pregnancies.
MATERIAL AND METHODS
Three hundred and forty-three pregnant women were divided into planned cesarean delivery (PCD) and vaginal delivery (PVD) groups (208 vs 135). In the planned-cesarean-delivery group, the rate of cesarean delivery was 98.82%. Meanwhile, the rate of vaginal delivery was 51.27% in PVD group.
RESULTS
Women in the PCD group delivered earlier than that in the PVD group. However, the composite primary outcome of the PCD group was like that of the PVD group. Certainly, the odds ratio of planned cesarean delivery and confidence interval of the PCD group was also like those of the PVD group.
CONCLUSIONS
The risk of fetal or neonatal death or serious neonatal morbidity of planned-vaginal-delivery was like those of planned-vaginal-delivery in pregnant women with twin pregnancies.
目的
探讨在胎儿或新生儿死亡或严重新生儿并发症风险下，计划行剖宫产术与阴道分娩术在双胎妊娠孕妇中的应用。
材料与方法
343 名孕妇分为计划剖宫产组（PCD）和阴道分娩组（PVD）（208 例与 135 例）。在计划剖宫产组中，剖宫产率为 98.82%。同时，PVD 组阴道分娩率为 51.27%。
结果
PCD 组孕妇的分娩时间早于 PVD 组。然而，PCD 组的复合主要结局与 PVD 组相似。当然，PCD 组的计划性剖宫产比值比及其置信区间也与 PVD 组相似。
结论
在双胎妊娠孕妇中，计划行阴道分娩的胎儿或新生儿死亡或严重新生儿并发症风险与计划行阴道分娩相似。
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