摘要
目的:探讨引产对延期妊娠母儿结局的影响。方法:回顾性分析延期妊娠孕妇437例,其中引产组276例,自然临产组161例。结果:①引产组的剖宫产率、平均住院日明显高于自然临产组,差异有统计学意义(P<0.05);②引产组和自然临产组的产后出血发生率、产褥病率、产时损伤发生率比较差异无统计学意义(P>0.05);③羊水Ⅲ度粪染发生率、新生儿窒息发生率两组比较差异有统计学意义(P<0.05)。结论:对延期妊娠孕妇是否进行引产,需进行综合评价,选择适合孕妇的期待或引产方案。
Objective:To investigate the maternal-neonatal outcomes associated with induction of labour in prolonged pregnancy. Methods :437 women in prolonged pregnancy were reviewed retrospectively, including 276 women undergoing induced labor and 161 women undergoing spontaneous labor. Reeulte:(1)The caesarean section rate and average hospitalization time in the induction group was significantly higher than that in spontaneous group( P 〈 0.05). (2)No statistically significant difference was observed between induction group and spontaneous group in the rate of postpartum hemorrhage, puerperal morbidity and intrapartum trauma (P 〉 0.05). (3)There was significant difference in the incidence of III degree meconium-stain of the amniotic fluid, and neonatal asphyxia ( P 〈 0.05). Conclusions: Induction of labor in prolonged pregnancy will increases the rates of caesarean section, the incidence rate of Ⅲ degree meconium-stain of the amniotic fluid, and neonatal asphyxia.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2010年第2期131-133,共3页
Journal of Practical Obstetrics and Gynecology
关键词
延期妊娠
引产
围生儿结局
Prolonged pregnancy
Induced labor
Perinatal outcome