新生兒血清膽紅素值與分娩方式的關係

The Relations between Types of Delivery and the Levels of Serum Bilirubin in Neonates

蔡裕銘(Yuh-Ming Tasi) ； 張益豐(Yi-Fong Chang) ； 李標柏(Piau-Po Lee) ； 陳炳梅(Pin-Mei Chen)

《Acta Paediatrica Sinica》 22卷1期 (1981/03) Pp. 11-14

摘要

民國65年1月到66年12月的兩年間，在臺北市立中興醫院産房出生的1,283位足月、體重2,500gm以上的新生兒，就不同的分娩方式來觀察其和血清膽紅素值間的關係。以不同的分娩方式來看，真空吸引和臀位式生産兩組日齡血清膽紅素平均值最高，剖腹生産爲最低；以最高血清膽紅素值的分佈情形來看，剖腹生産者大多在12mg%以下，真空吸引則大多在12mg%以上，其中超過17mg%者，以真空吸引所佔比率最大。

並列摘要

For the purpose of understanding the relations between types of delivery and serum bilirubin levels in newborn infants, 1,283 full-term newborn infants born at the delivery room of Taipei Municipal Chung-Hsin Hospital were observed during the period of Jan. 1976 to Dec. 1977. Blood group incompatibility, cephalohematoma and G-6-PD deficiency which could influence serum bilirubin levels were excluded from the study.
The results are summarized as follows:
1. The relation between various types of delivery and the levels of serum bilirubin measured daily showed statistically significant difference. That is; higher levels of serum bilirubin were found in both vacuum and breech deliveries, and lower levels in cesarean section deliveries.
2. The relation between the distribution of the highest values of serum bilirubin and types of delivery revealed that the values of serum bilirubin in cesarean section deliveries were almost under 12 mg%, and in vacuum deliveries almost over 12mg%, Among the rest, the highest values of serum bilirubin, over 17 mg%, were demonstrated in the highest percentage of cases with vacuum deliveries.

並列關鍵字

Type of delivery ； cesarean section ； serum bilirubin