摘要
目的探讨青春期妊娠分娩产科结局的特点。方法对1990年至2002年在本院分娩的100例青春期妊娠与同期20078例成人产妇的临床资料进行回顾性对照分析。结果青春期妊娠所占分娩比例逐年上升；青春期组顺产率、早产发生率和急产发生率明显高于成人组(P值分别＜0．001、0．001、0．05),剖宫产率明显低于成人组(P＜0．01)；青春期组子癎和子癎前期重度发生率明显高于成人组(P＜0．001),两组胎膜早破、产后出血发生率的差异无显著性(P＞0．05)。两组新生儿结局的差异无显著性(P＞0．05)。结论青春期妊娠分娩比例逐年上升；与成人产妇比较,青春期产妇更易顺产、早产和急产,且更易发生子癎和子癎前期重度。
Objective To appraise the characteristics of the obstetric outcomes of adolescent pregnancy. Methods From 1990 to 2002, one hundred consecutive adolescent women admitted for delivery in our hospital were enrolled with analysis and comparison to the adult mothers （n= 22 0078） in the same period for the obstetric outcomes. Results The rate of adolescent mother increased steadily from 0. 005% in 1992 to 1.09% in 2002; the ratio of spontaneous delivery in adolescent pregnancy （82%） was higher than that in mature pregnancy （55.4%） ; the ratio of cesarean section in adolescent pregnancy （16%） was lower than that in mature pregnancy （38.5 %, P〈0. 000 1） ; the rate of the premature labor （〈37 w） in the adolescent mother （14%） was significantly lower than that in mature pregnancy （2.8%, P〈0. 001） ; the rate of precipitate labor in adolescent pregnancy was 13%, higher than that in mature pregnancy 6.8% （P〈0.01） ; the rate of severe preeclampsia and eclampsia in the adolescent group was 5%, higher than that in mature group 1. 96% （P〈0. 001）. There were no significant diffe rences in birth weight of newborn, neonatal asphyxia and neonatal mortality rate between the two groups; also there were no significant differences on premature rupture of membranes and postpartum hemorrhage. Conclusion The rate of adolescent mother was gradually rising year by year, and almost all of them tend to give rise to spontaneous delivery, premature labor even precipitate labor. There are no significant differences on the outcomes of newborn and the rate of premature rupture of membranes and postpartum hemorrhage, but are prone to have preeclampsia and eclampsia.
出处
《上海医学》
CAS
CSCD
北大核心
2006年第6期379-380,共2页
Shanghai Medical Journal
关键词
青春期妊娠
产科结局
产妇
Pregnancy in adolescence
Obstetric outcomes
Puerpera
