摘要
我院对妊娠大于41周者常规引产。本文分析1984～1985年的过期、延期(41^+～42周)及足月产病例,围产死亡率各为41.7‰、28.6‰及8.8‰。引产组剖宫产率较高的主因为宫颈不成熟所致引产失败。4例围产死亡中2例羊水少兼胎粪,1例窒息死产。加强监护、提前引产及适时剖宫产则皆可避免死亡。
Elective induction was undertaken for the pregnancies exceeding 41 weeks of gestation as a routine in our hospital, in this paper, cases in, 1984～1985 were analysed to evaluate the advantages and disadvantages of this measures. The perinatal mortality of groups for>42, 41^+-42 and 37-41 gestation weeks were 41.7％, 28.6％ and 8.8％ respectively. The cesarean section rate for the labor induction, sportaneous initiation and the term groups were 17.7％, 7.1％ and 4.2％. The higher cesarian section rate for the induction, group is mainly due to unriped cervix resulting failure of induction. Among the 4 cases of perinatal death, two were oligohydramnios contaminated with muconeum, the 3rd case induced inefficiently, resulting in fetal distress and intrapartum death. The death of the 3 babies might be avoided if careful monitoring, earlier induction or cesarean section were adopted at an appropriate time, and thus the mortality rate would be reduced remarkebly. The original routine has been modified so as to raise the success. rate of labor induction ahead of postmaturity and improve the outcome.
出处
《北京医学》
CAS
北大核心
1991年第5期266-268,共3页
Beijing Medical Journal
