2013China Medical HeraldRequires access

Comparison of different mode of delivery for women on postpartum hemorrhage and immune function

Yan Zhang

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Abstract

Objective To explore the vaginal delivery and cesarean section on the postpartum hemorrhage,Apgar score of newborns,and immune function by the primiparous women.Methods 120 cases of pregnant women were divided into vaginal delivery and cesarean section group,60 cases in each group.Apgar score,immunoglobulin(IgA,IgG and IgM) and C-reactive protein(CRP) level,and the levels of postpartum hemorrhage were detected in the two groups of newborns.Results The vaginal delivery mode showed significant lower rate of postpartum hemorrhage(P 0.05).There were no significant differences on the 1 min and 5 min Apgar score results between the two groups(P = 0.17;P = 0.50).IgA,CRP level was significantly higher in cesarean section group than that of vaginal delivery group(P 0.05),while IgG,IgM level was lower than that of the vaginal delivery group(P 0.05).Male newborns IgA and IgM levels were significantly lower in female newborns,but IgG was higher than the female newborns in the cesarean group(P 0.05).Conclusion Vaginal delivery and cesarean have no significant effects on neonatal Apgar score,but cesare an section can result in the decreased immunity and high rate of postpartum hemorrhage.

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Objective To explore the vaginal delivery and cesarean section on the postpartum hemorrhage,Apgar score of newborns,and immune function by the primiparous women.Methods 120 cases of pregnant women were divided into vaginal delivery and cesarean section group,60 cases in each group.Apgar score,immunoglobulin(IgA,IgG and IgM) and C-reactive protein(CRP) level,and the levels of postpartum hemorrhage were detected in the two groups of newborns.Results The vaginal delivery mode showed significant lower rate of postpartum hemorrhage(P 0.05).There were no significant differences on the 1 min and 5 min Apgar score results between the two groups(P = 0.17;P = 0.50).IgA,CRP level was significantly higher in cesarean section group than that of vaginal delivery group(P 0.05),while IgG,IgM level was lower than that of the vaginal delivery group(P 0.05).Male newborns IgA and IgM levels were significantly lower in female newborns,but IgG was higher than the female newborns in the cesarean group(P 0.05).Conclusion Vaginal delivery and cesarean have no significant effects on neonatal Apgar score,but cesare an section can result in the decreased immunity and high rate of postpartum hemorrhage.

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Available abstract

Objective To explore the vaginal delivery and cesarean section on the postpartum hemorrhage,Apgar score of newborns,and immune function by the primiparous women.Methods 120 cases of pregnant women were divided into vaginal delivery and cesarean section group,60 cases in each group.Apgar score,immunoglobulin(IgA,IgG and IgM) and C-reactive protein(CRP) level,and the levels of postpartum hemorrhage were detected in the two groups of newborns.Results The vaginal delivery mode showed significant lower rate of postpartum hemorrhage(P 0.05).There were no significant differences on the 1 min and 5 min Apgar score results between the two groups(P = 0.17;P = 0.50).IgA,CRP level was significantly higher in cesarean section group than that of vaginal delivery group(P 0.05),while IgG,IgM level was lower than that of the vaginal delivery group(P 0.05).Male newborns IgA and IgM levels were significantly lower in female newborns,but IgG was higher than the female newborns in the cesarean group(P 0.05).Conclusion Vaginal delivery and cesarean have no significant effects on neonatal Apgar score,but cesare an section can result in the decreased immunity and high rate of postpartum hemorrhage.

Key concepts: Medicine, Vaginal delivery, Apgar score, Obstetrics, Immune system, Elective cesarean section, Gynecology, Pregnancy

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