Study on the relationship between neonatal weight and jaundice after cesarean section
剖宫术新生儿体重与黄疸关系研究

摘要

目的 讨论研究剖宫术新生儿体重与黄疸关系。方法 选择2020年7月到2021年6月期间院内的新生儿600例，按照生产方式划分为顺产组与剖宫术组，顺产组有264例新生儿，剖宫术组有336例新生儿，对两组新生儿临床相关资料进行分析，包括胎龄、性别、体重、黄疸发生情况、血糖等相关生命体征指标等，运用Logistic回归分析法分析剖宫术新生儿黄疸相关高危因素。结果 对比两组新生儿基本资料后，发现两组新生儿性别、胎龄等相关数据信息之间的差异无统计学意义（P>0.05）；剖宫术组整体新生儿黄疸发生几率明显高于顺产组（P<0.05），差异存在统计学意义；剖宫术组新生儿体重明显高于顺产组（P<0.05），差异存在统计学意义；剖宫术组新生儿黄疸发生风险与新生儿体重增加以及胎膜早破、GBS（B族链球菌）感染、母发热、羊水污染等发生情况呈正相关（P<0.05），差异存在统计学意义。结论 剖宫术新生儿与顺产新生儿相比较，存在较高的黄疸发生风险，而且剖宫术新生儿出现黄疸可能是受到新生儿体重增加方面、胎膜早破方面、GBS（B族链球菌）感染方面、母发热方面、羊水污染方面等多种因素影响，需要做好产前与产后相关护理工作，有效避免高危因素，重视新生儿体重变化，将新生儿体重控制在合理范围，从而降低黄疸发生几率，为患儿的健康成长提供一定保障。

Abstract

Objective to discuss and study the relationship between neonatal weight and jaundice after cesarean section.
Methods 600 newborns in the hospital from July 2020 to June 2021 were selected and divided into spontaneous delivery group and cesarean section group according to the mode of production. There were 264 newborns in the spontaneous delivery group and 336 newborns in the cesarean section group. The clinical data of the two groups of newborns were analyzed, including gestational age, gender, weight, incidence of jaundice, blood glucose and other related vital signs, Logistic regression analysis was used to analyze the high risk factors of neonatal jaundice during cesarean section.
Results after comparing the basic data of newborns in the two groups, it was found that there was no significant difference in gender, gestational age and other related data between the two groups (P > 0.05); The incidence of neonatal jaundice in cesarean section group was significantly higher than that in spontaneous delivery group (P < 0.05); The weight of newborns in cesarean section group was significantly higher than that in spontaneous delivery group (P < 0.05); The risk of neonatal jaundice in cesarean section group was positively correlated with neonatal weight gain, premature rupture of membranes, GBS (group B streptococcus) infection, maternal fever and amniotic fluid pollution (P < 0.05).
Conclusion   there is a higher risk of jaundice in newborns born by cesarean section compared with those born naturally. Moreover, jaundice in newborns born by cesarean section may be affected by many factors, such as neonatal weight gain, premature rupture of membranes, GBS (group B streptococcus) infection, maternal fever, sheep water pollution and so on. It is necessary to do a good job in prenatal and postpartum care, Effectively avoid high-risk factors, pay attention to the change of neonatal weight, and control the neonatal weight within a reasonable range, so as to reduce the incidence of jaundice and provide a certain guarantee for the healthy growth of children.