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首页> 外文期刊>Gynecologie, obstetrique & fertilit >Maternal morbidity after Thierry's spatulas and vacuum deliveries
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Maternal morbidity after Thierry's spatulas and vacuum deliveries

机译：蒂埃里（Thierry）的刮刀和真空分娩后的母亲发病率

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OBJECTIVE: To compare maternal morbidity after Thierry's spatulas or vacuum-assisted deliveries. PATIENTS AND METHODS: Retrospective study, at the French hospital la Conception, in Marseilles. All successful instrumental deliveries between November 2003 and May 2005 were reviewed, that is to say 264. Univariate and multivariate analysis were performed comparing maternal morbidity in the two groups. The primary outcome measure was perineal trauma. Secondary outcomes were blood loss and duration of hospitalization. RESULTS: Among the 264 deliveries, there were 96 vacuum deliveries and 168 Thierry's spatulas extraction. Thierry's spatulas were use more often in nulliparous patient (0.001). Patients in the group of Thierry's spatulas have a higher rate of epidural analgesia (p=0.05), a longer duration of first (p=0.002) and second stage of labor (p=0.03). There was no difference in incidence of sphincter tears between women who underwent Thierry's spatulas and those who underwent vacuum delivery with respective incidence of 4.2 and 3.2% (p=0.67). There was a significant difference in post-partum hemoglobin value with a higher blood loss in the group of Thierry's spatulas (0.001). Mean duration of hospitalization was longer in the group with Thierry's spatulas (5.6 days) than in the group who underwent vacuum delivery (4.7 days) (p0.001). DISCUSSION AND CONCLUSION: Incidence of third degree tears was similar between the vacuum and Thierry's spatulas group. Deliveries with vacuum are associated with less blood loss and a shorter hospitalization stay.
机译：目的：比较蒂埃里的刮刀或真空辅助分娩后的母亲发病率。病人和方法：在法国马赛的La Conception医院进行回顾性研究。回顾了2003年11月至2005年5月之间所有成功的工具分娩，即264。对两组的孕产妇发病率进行了单因素和多因素分析。主要结果指标是会阴部创伤。次要结果是失血量和住院时间。结果：在264例分娩中，有96例是真空分娩，有168例Thierry的刮刀摘除。 Thierry的刮刀在未产妇中使用得更多（<0.001）。蒂耶里刮刀组中的患者具有较高的硬膜外镇痛率（​​p = 0.05），分娩的第一阶段（p = 0.002）和第二阶段的时间更长（p = 0.03）。接受蒂耶里刮刀的妇女与接受真空分娩的妇女括约肌撕裂的发生率无分别，分别为4.2％和3.2％（p = 0.67）。蒂埃里小铲组的产后血红蛋白值存在明显差异，且失血量更高（<0.001）。蒂耶里刮刀组（5.6天）的平均住院时间比接受真空分娩的组（4.7天）更长（p <0.001）。讨论与结论：真空和蒂埃里的小铲组之间发生三级眼泪的发生率相似。真空分娩可减少失血量并缩短住院时间。

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