The short and long-term influence of cesarean delivery on maternal and child / 中国基层医药

ABSTRACT

Objective To explore the short and long-term influence of cesarean delivery on maternal and child.Methods The clinical data of 504 cases of maternal postpartum were investigated,and followed up for 10 years.The 1-year-old children were given DDST of pediatric mental development screening investigation.The schoolage children were examined by the learning ability assessment and check measurement tools.Results The postpartum depression scale score in the first day of maternal eutocia group was significantly lower than that of the cesarean group (t =16.54,P ＜ 0.05).The probability occurrence of intrapartum and postpartum complications of eutocia group were lower than those of cesarean group(x2 =4.62,4.17,14.62,6.37,all P ＜ 0.05).The bilirubin index and the incidence of Apgar score ≤7 points in eutocia group were lower than those in the cesarean group,the differences were statistically significant(t =23.62,x2 =4.12,all P ＜ 0.05).10 years of investigation on postpartum natural childbirth and caesarean section women,ectopic pregnancy,endometriosis,secondary infertility,and subsequent pregnancy abnormal cases in the eutocia group were significantly lower than those in the cesarean group,there were significant differences (x2 =1.57,6.78,4.35,4.26,7.34,all P ＜ 0.05).Personal and social,fine motor,language ability,a large sports development in the eutocia group were significantly better than those in the cesarean group(x2 =13.76,12.75,13.32,15.23,all P ＜0.05).Number of allergic asthma,attention deficit hyperactivity disorder,interpersonal communication,social adaptability in the eutocia group was significantly better than that in the cesarean group (x2 =4.58,4.04,6.34,all P ＜ 0.05).Conclusion Cesarean section have different effects on maternal and fetal,we should take effective measures to reduce the rate of cesarean section,safeguard physical and mental health of women and children.