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The Effect Of Pregnancy Outcome Of Transvaginal Birth In Pregant Women At Term With Less Amniotic Fluid

Posted on:2015-06-10Degree:MasterType:Thesis
Country:ChinaCandidate:M XueFull Text:PDF
GTID:2284330467458270Subject:Obstetrics and gynecology
Abstract/Summary:PDF Full Text Request
PurposeAnalyze the impact of vaginal trial production of amniotic fluid of pregnant womenabout pregnancy outcomes, Explore the amniotic fluid of pregnant women among themonitoring fetal biophysical score (BPS), oxytocin challenge test (oxytocin challenge test,OCT) and contraction stress test (contraction stress test, CST) these three checks in thevagina trial production of meaning.MethodsCollected85cases of full-term pregnancy, amniotic fluid of pregnant women, wereretrospectively analyzed as a research group, And have a complete clinical data availablefor vaginal delivery, and this year, randomly selected80cases of amniotic fluid in thenormal range for pregnant women as a control group. Color Doppler ultrasound amnioticfluid index (AFI) diagnostic estimated amniotic fluid volume, and were given thefollowing checks after admission: Electronic fetal monitoring non-stress test (non-stresstest, NST), Bishop cervix maturity score, oxytocin Su irritation test (oxytocin challengetest, OCT), and labor or not, According to the actual situation of pregnant women toelective cesarean section, vaginal delivery and selective induction treatment, and vaginaltrial production process, strict continuous fetal heart rate monitoring (NST), if not properlyand timely treatment.ResultsIn this study, amniotic fluid, amniotic fluid group and the normal group two cesareanrate P <0.05, the difference was statistically significant. Two prenatal appears variabledeceleration (VD) P>0.05, the difference was not considered statistically significant;prenatal There were no late deceleration (LD) occurs; occurs when production VD groups P <0.05, significant difference; LD groups P>0.05when produced, the difference was notstatistically significant. Two degrees meconium-stained amniotic fluid I P<0.05, thedifference was statistically significant, but two degrees II, III degree meconium P>0.05,the difference was not statistically significant. Two sets of fetal distress rates P>0.05, thedifference was not statistically significant. The proportion of the two groups Apgar scoreless than7points P <0.05, significant difference between the two groups Apgar score lessthan4points the proportion P>0.05, the difference was not statistically significant. Twoweight newborns P>0.05, the difference was not statistically significant.ConclusionUnder strict and continuous production during antenatal fetal heart rate monitoring,while the third trimester amniotic fluid of pregnant women is vaginal trial production, andcan effectively make significantly reduced the incidence of cesarean section. For the goodcondition of the fetus within the uterine cavity, if the conditions are ripe cervix patients,and no other risk factors, it can be vaginal trial production in trial production process,should continue to closely monitor changes in fetal heart rate, amniotic fluid situation andthe progress of the production traits, at the right time of termination of pregnancy, but alsoto get a good pregnancy outcomes; If the conditions are not ripe cervix, amniotic fluid ofpregnant women can selectively promotes induction cervical ripening, especially after theselective use can dinoprostone vaginal suppository drugs on the vault, you can make thecesarean section rate was significantly reduced.
Keywords/Search Tags:Amniotic fluid, vaginal delivery, term pregnancy, ultrasound, dinoprostonesuppository
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