【摘要】 目的 :了解产妇及胎儿在医院分娩过程中产时保健情况对母婴健康的影响。方法 :对 116 6 4例产妇接产情况 ,采用 χ2 检验对不同年份不同分娩方式及母婴分娩并发症发生率进行对比分析。结果 :剖宫产率为 41 84% ,围产儿死亡率为 10 6 8‰ ,产妇分娩并发症的发生率为 5 99% ,其中产后出血占 95 42 % ,剖宫产与阴式分娩产后出血率差异无显著性 (χ2 =0 6 6 ,P >0 0 5 ) ,新生儿并发症发生率为 8 5 8% ,其中出生窒息占 71 14% ,发生率高达 6 11% ;与前两年相比 ,1999年剖宫产率明显上升 ,差异有极显著性 (χ2 =95 13,P <0 0 0 1) ,产伤发生率明显下降 ,差异有极显著性(χ2 =37 0 7,P <0 0 0 1)。结论 :加强胎儿监护 ,选择适宜的分娩方式 ,减少出生窒息 ,预防产伤和产后出血 ,是提高母婴健康的关键。更多还原

【Abstract】 Objective: To evaluate the effects of health care in delivery in hospital on situation of maternal and neonatal health. Methods: Medical records of 11664 pregnant women delivering from 1997 to 1999 at a hospital in Guangzhou, Guangdong were included. The delivery mood, complications and birth outcomes were analyzed by the χ 2 test. Results: Among all, 48.57% were normal labor, 41.84% caesarean delivery, and 9.56% midwifery. Perinatal mortality rate was 10.68 per 1000 births. The maternal complications associated with delivery were 5.99 percent, of which 95.42% were postpartum hemorrhage, others including puerperal infection, amniotic fluid embolism, and perineum laceration. Neonatal complications were 8.58%, mainly birth asphyxia (6.11%). There was no significant differeence in incidence of postpartum hemorrhage between caesarean delivery and vaginal labor (P>0.05). Compared to that in previous two years, the neonatal birth trauma rate was asedased significantly in 1999(P<0.0