双胎妊娠孕妇在剖宫产术中一胎保留胎膜囊的临床研究

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Abstract Objective To investigate the effect of cesarean section with preserving membrane sac for first newborn in twin pregnancy on pregnant women and newborns.Methods A total of 50 cases of pregnant women who underwent cesarean section for twin pregnancy admitted to Xinyu Maternal and Child Health Hospital from June 2018 to December 2020 were selected as the research subjects. According to the random number table, they were divided into a study group (25 cases) and a control group (25 cases). In the study group, the first newborn was delivered by the conventional method during the cesarean section. And the other newborn was preserved with the membranous sac. It was observed that there was no placenta around the uterine incision. The newborn and amniotic fluid were completely delivered from the uterine cavity along with the amniotic sac. The control group was delivered by traditional methods. The membranes were broken, the amniotic fluid was sucked, and the newborns were taken out in sequence. Intraoperative and 24 hour postoperative uterine bleeding, and the incidence of maternal and neonatal adverse reactions were compared in the two groups. Results There was no statistically significant difference in the delivery time of the second newborn between the two groups (P＞0.05). The intraoperative and 24 h uterine bleeding in the study group were fewer than those of the control group, and the differences were statistically significant (P＜0.05). The total incidence of complications in the second newborn in the study group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion The cesarean section with preserving membrane sac for first newborn in twin pregnancy can reduce the intraoperative and 24 h blood loss, and reduce the clinical complications of the second newborn.

Key words： Twin pregnancy Cesarean section Preservation of membrane sac Pregnant women and newborn Clinical research

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	Articles by authors
	LUO Xu-qing
	ZHANG Ji-hong
	LUO Chun-yan
	LIU Hai-mei

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LUO Xu-qing,ZHANG Ji-hong,LUO Chun-yan, et al. Clinical research on the preservation of membrane sac for first newborn of pregnant women with twin pregnancy during cesarean section[J]. 中国当代医药, 2021, 28(30): 109-112.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I30/109

[1]	李雪梅，潘露，缪丽珍.控制双胎娩出间隔时间对产后出血的影响[J].江西医药，2019，54（6）：641-642.
[2]	刘兴会.产后出血预防与处理指南（2014）[J].中华妇产科杂志，2014，49（9）：641-646.
[3]	谢幸，孔北华，段涛.妇产科学[M].9 版.北京：人民卫生出版社，2018：171.
[4]	叶建红，陈雪，包丽丽，等.剖宫产再次妊娠不同分娩方式的临床结局及影响因素[J].中国妇幼健康研究，2018，29（3）：346-348.
[5]	Mehrabadi A，Hutcheon JA，Lee L，et al.Epidemiological investigation of a temporal increase in atonic postpartum haemorrhage: a population-based retrospective cohort study[J].BJOG，2013，120（7）：853-862.
[6]	余燕，郑小花，徐颖.宫缩乏力和胎盘因素致剖宫产产后出血的临床分析[J].中华保健医学杂志，2021，23（1）：54-56.
[7]	杨奕梅，戴芙蓉，孙宇.子宫横向环行捆绑缝扎术在预防双胎妊娠剖宫产术后出血的应用[J].云南医药，2019，40（3）：203-205，239.
[8]	刘兴会，陈锰.产后出血的药物和手术治疗评价[J].中华妇幼临床医学杂志（电子版），2013，9（2）：140-143.
[9]	Main EK，Goffman D，Scavone BM，et al.National Partnership for Maternal Safety：Consensus Bundle on Obstetric Hemorrhage[J].Obstet Gynecol，2015，126（1）：155-162.
[10]	杨晓燕，周玮.双胎妊娠产后出血相关危险因素临床分析[J].重庆医学，2018，47（23）：3105-3107，3111.
[11]	刘小艳，常青，陈丹，等.大量产后出血的危险因素分析[J].重庆医学，2021，50（2）：428-431.
[12]	陈建伟.阴道产及子宫下段剖宫产对双胎妊娠结局的影响[J].中国实用医药，2021，16（5）：40-42.
[13]	耿力，杨丽娜.双绒毛膜双羊膜囊双胎分娩方式与围产结局的临床分析[J].中国计划生育学杂志，2018，26（5）：379-382.
[14]	王红莲.保留胎膜囊剖宫产术在早产儿的临床应用[J].中外女性健康研究，2020，15（8）：61-62.
[15]	金镇，尚涛，王德志.早产时应用保留胎膜囊剖宫产术式的临床研究[J].中国优生与遗传杂志，2005（1）：79-80，95.