摘要
目的探讨延期妊娠引产时机的选择对母婴结局的影响。方法将326例孕41～41+6周无任何合并症及并发症的孕妇分成两组:引产组214例,自然临产组112例,分别对两组孕妇的分娩方式、产后并发症、新生儿窒息发生情况、住院天数进行回顾性分析。结果引产组的剖宫产率、平均住院天数、胎儿羊水Ⅲ度粪染发生率明显高于自然临产组,差异有统计学意义(P<0.05);两组的产后出血量、产褥病率、急产、产时损伤、胎儿窘迫及新生儿窒息发生率比较,差异均无统计学意义(P>0.05)。结论对于无妊娠合并症及并发症的延期妊娠是否进行引产,需进行综合评价,在现有多种手段对胎儿进行密切监护的条件下可以等待自然临产,如孕42周仍未临产,根据临床实际情况再考虑引产。
Objective To investigate the effect of prolonging induced time for prolonged pregnancy on maternal-neonatal outcomes.Methods 326 cases whose pregnant periods ranged from 41 to 41 ＋6 weeks were divided into two groups.One group（n = 214）was treated as induced group.The other group（n = 112）was natural labor group.The delivery methods,postnatal complications,neonatal asphyxia and average hospitalization time were retrospectively analyzed.Results The uterine-incision delivery rate,average hospitalization days and fetal distress in uterus,Ⅲ meconium-stained amnioticfluid in the induction group were significantly higher than those of the natural labor group.The differences had statistical significance（P 0.05）.No statistically significant difference was observed between induction group and naturel labor group in the rate of postpartum hemorrhage,puerperal morbidity and intrapartum trauma（P 0.05）.Conclusion Whether or not to perform induced labor for the prolonged pregnant women with no pregnancy complications depends on general evaluation.Waiting for natural labor is possible due to many existing methods of strict monitoring of fetus,and decision of induction should be based on its practical situation.
出处
《白求恩军医学院学报》
2010年第3期167-168,共2页
Journal of Bethune Military Medical College
关键词
延期妊娠
引产
妊娠结局
Prolonged pregnancy
Induced labor
Pregnancy outcome
