Comparison of the Maternal and Neonatal Outcomes in Parturients with Abnormal Second Stage of Labor between Forceps Delivery and Emergency Cesarean Section

Gui-E TANG; Liang-Ying YI

白话标题:第二产程异常的产妇经产钳助产及急诊剖宫产的母婴效果对比
作者: Gui-E TANG ¹ ; Liang-Ying YI
作者信息

1. 皖北煤电集团总医院产科
关键字: Second stage of labor; Forceps delivery; Emergency cesarean section; Maternal and infant outcome; Advantages and disadvantages
来源: Journal of Kunming Medical University 2015;36(10):52-54,58
国家China
语言:Chinese
摘要: Objective To investigate the influence of forceps delivery or emergency cesarean section on the maternal and infant outcome in pregnant women with abnormal second stage of labor.Methods We retrospectively analyzed the clinical data of 118 parturients with abnormal second stage of labor in the department of obstetrics and gynecology in our hospital from 2013 January to 2015 February.The involved parturients with abnormal second stage of labor received different delivery modes including forceps delivery and emergency cesarean section, and the delivery time and its influence on the maternal and infant outcome were compared.Results The mean delivery time of forceps delivery and emergency cesarean section was (14.8 ± 5.3) and (32.7 ± 12.6) minutes, the difference was significant (P＜0.05).The bleeding probability and the occurrence of severe neonatal asphyxia in the forceps delivery group was obviously lower than that of maternal emergency cesarean section group (P＜0.05).The influence of emergency cesarean section on the newborn severe asphyxia was more serious than forceps delivery (P ＜0.05).There was no statistical difference in the mild asphyxia, facial bruising, scalp hematoma and neonatal pneumonia between the two groups.Conclusion Compared with emergency cesarean section, forceps delivery can protect the safety of mother and child can reduce dystocia risk coefficient for the pregnant women with abnormal second stage of labor.