摘要
为探讨死胎的病因及处理，以制定可行的防治措施，对１９８５年１月～１９９５年３月间４４例死胎进行了分析。死胎占同期围产儿死亡的４５９％，最常见的原因为脐带因素及产科并发症，约１／４的病例原因不明。除４例严重并发症危及母体生命者行剖宫产外；其余的死胎均自阴道排出，引产者约占６００％。随诊２１例中，１５例再次妊娠，仅１例自然流产，其余均分娩健康婴儿。提示作好孕期监测及高危妊娠管理可有效减少死胎的发生。胎儿死亡后应尽快促使其排出，无特殊情况尽量避免行剖宫产。
To find out a practical measure for prevention and management of dead born,44 cases of dead born were analyzed which occurred from Jan.1985 to Mar.1995.In the same period,the perinatal mortality was 11 5%,in which near 1/2(45 9%) was due to dead born.The most common causes were umbilical factors and obstetric complications,however,causes remained unknown in about 1/4 of all cases.Besides using cesarean section as a rescue measure for the maternal reason in 4 cases,dead fetuses were expelled vaginally in the rest.21 cases were followed up.15 women have pregnancy again,among them 1 was terminated with spontaneous abortion,13 cases gave birth uneventfully.This analysis suggested that close monitoring during pregnancy and proper management of high risk pregnancy could reduce the incidence of dead born effectively.Vaginal delivery for dead fetus in most cases is the best choice.Under close monitoring and guidance,pregnant women with a history of stilll birth could also have normal delivery in the future.
出处
《中日友好医院学报》
1996年第2期160-163,共4页
Journal of China-Japan Friendship Hospital
关键词
妊娠
并发症
胎儿
死亡
脐带
病因
pregnance complications
fetus
death
umbilical cord
