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摘要

:外头位妊娠(ECV)代表了足月妊娠的标准,因为它避免了有计划的剖腹产。本研究的目的是评估ECV术后的剖宫产率和预后因素,并将其与非头位分娩(SCG)和出生时自发性头位分娩(GG)的计划剖宫产进行比较。ECV组(n=65)与GG组(n=3711)的剖宫产率差异无统计学意义(分别为9.84%和14.47%,p值=0.30),ECV组与GG组和SCG组(n=76)的Apgar评分和产后pH值差异无统计学意义(ECV组和SCG组5分钟Apgar评分分别为9.98和9.84,p值=0.04)。本研究为ECV术后围产儿预后良好的临床实践提供了进一步的证据。需要进一步的研究来一致地证明先前文献中描述的ECV后产时剖腹产率的增加,而本研究未发现这一点。关键词:外头位,臀位表现,剖宫产率,围产期结局,Apgar评分,产后Ph。
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Perinatal Outcomes After Undergoing External Cephalic Version
: The external cephalic version (ECV) represents the standard for pregnancies at term with a non-cephalic presentation as it avoids planned caesareans. The aim of this study was to assess the caesarean rate and prognostic factors at birth after undergoing ECV, which was compared with scheduled caesareans for a non-cephalic presentation (SCG) and spontaneous cephalic presentations at birth (GG). No difference was observed between the caesarean rate of the ECV (n=65) and the GG (n=3711) groups (9.84% and 14.47%, respectively, p-value=0.30), and neither was found between the ECV group and both the GG and SCG (n=76) groups in the Apgar scores and postpartum pH, but for the five-minute Apgar score (9.98 and 9.84 in the ECV and SCG groups, respectively, p-value=0.04). This study provides further evidence for clinical practice regarding good perinatal outcomes after undergoing ECV. Further research is required to consistently prove the increase in the intrapartum caesarean rate after ECV that has been previously described in the literature, which has not been found in the present study. Keywords: External Cephalic Version, Breech Presentation, Caesarean Rate, Perinatal Outcomes, Apgar Score, Postpartum Ph.
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