CAJ | 학술논문

目的探讨临产后胎心监护异常经阴道分娩的安全性，以降低胎心监护异常为指征的剖宫产率。方法选取472例胎心监护异常的患者，分为2组：经阴道试产组（n=226），直接剖宫产组（n=246），比较2组孕妇试产成功率及围生儿情况。结果经阴道分娩组（自然分娩+产钳助产）与剖宫产组（直接+中转剖宫产）新生儿窒息、羊水过少、脐带异常的比较差异均无统计学意义（χ2新生儿窒息=0.48，χ2羊水过少=0.81，χ2脐带异常=2.26）；2组比较羊水I°～Ⅲ°污染，直接剖宫产组显著多于阴道试产组，差异有统计学意义（χ2=85.68，P＜0.01）。结论胎心监护异常伴羊水清-I°污染、羊水过少、脐带异常等在严密监护下经阴道分娩是安全的。
목적탐토임산후태심감호이상경음도분면적안전성，이강저태심감호이상위지정적부궁산솔。방법선취472례태심감호이상적환자，분위2조：경음도시산조（n=226），직접부궁산조（n=246），비교2조잉부시산성공솔급위생인정황。결과경음도분면조（자연분면+산겸조산）여부궁산조（직접+중전부궁산）신생인질식、양수과소、제대이상적비교차이균무통계학의의（χ2신생인질식=0.48，χ2양수과소=0.81，χ2제대이상=2.26）；2조비교양수I°～Ⅲ°오염，직접부궁산조현저다우음도시산조，차이유통계학의의（χ2=85.68，P＜0.01）。결론태심감호이상반양수청-I°오염、양수과소、제대이상등재엄밀감호하경음도분면시안전적。
Objective To investigate the abnormal fetal heart rate monitoring in labor after vaginal delivery of security to reduce abnormal fetal heart rate monitoring for indications of cesarean section rate.Methods 472 cases of fetal heart rate abnormalities were divided into two groups:vaginal trial production group (n=226), direct cesarean group (n=246), comparing two groups of pregnant women successful trial production rate and perinatal children situation.Results Vaginal delivery group (natural childbirth + forceps) and cesarean section group (direct + transit cesarean) neonatal asphyxia, oligohydramnios, umbilical cord abnormalities difference was not statistically significant (χ2asphyxia= 0.48,χ2oligohydramnios=0.81,χ 2umbilical cord abnormalities=2.26); two groups of amniotic fluid II ° - III ° pollution directly cesarean group was significantly higher than vaginal trial production group, the difference was statistically signiifcant (χ2= 85.68,P<0.01).Conclusion The abnormal fetal heart rate monitoring with clear amniotic lfuid -I ° pollution, oligohydramnios, umbilical cord abnormalities in intensive care after vaginal birth is safe.