摘要
目的探讨高龄妊娠与分娩对母婴的影响。方法选取我院分娩的5 992例孕产妇,根据年龄将其分为观察组和对照组,观察组为高龄孕产妇,对照组为非高龄孕产妇,观察比较两组孕产妇分娩结局、妊娠合并症及并发症、胎儿情况的差异。结果 (1)观察组妊娠合并症中高血压、糖尿病、甲状腺疾病的发生率高于观察组,差异具有统计学意义(P<0.05)。观察组并发症中过期妊娠、前置胎盘的发生率高于观察组,差异具有统计学意义(P<0.05)。(2)观察组剖宫产率高于对照组,差异具有统计学意义(P<0.01)。(3)观察组产后出血的发生率高于对照组,差异具有统计学意义(P<0.01)。(4)观察组新生儿窒息、出生缺陷的发生率高于对照组,差异具有统计学意义(P<0.05)。结论高龄孕产妇在妊娠时会提高某些妊娠合并症和并发症的发生率,加强高龄孕产妇的重点监护,可以降低某些并发症的发生率,减少围产儿的不良结局。
Objective To explore the effect of aged pregnancy and childbirth on pregnant women. Methods Totally 5 992 cases of pregnant women delivered in our hospital were employed in this study, they were divided into observation group and control group according to maternal age, and women in the observation group were aged pregnant women, the other pregnant women were in control group. The differences of marernal outcomes, complications of pregnancy, the fetal condition of the two groups were compared. Results （1）The occurrence of pregancy complications of hypertension, diabetes and thyroid disease in the observation group were significantly higher than those in the control group, the differences were statistically significant （P 〈 0.05）. The occurrence ofpregancy complications of postterm pregnancy and placenta praevia in the observation group were significantly higher than those in the control group, the differences were statistically significant （P 〈 0.05）. （2）The cesarean section rate of observation group was significantly higher than that of control group, the differences were statistically significant （P 〈 0.01）. （3）The occurrence of postpartum hemorrhage in the observation group was significantly higher than that in control group, the differences were statistically significant （P 〈 0.01）. （4）The occurrence of neonatal asphyxia and birth defect in the observation group were significantly higher than that in the control group, the differences were statistically significant （P 〈 0.05）. Conclusion Some of the occurrence complications are high in aged pregnant women. If we enhance the intensive care of aged pregnant women, we will reduce some of the occurrence of pregancy complications and the bad ending of perinatal infant.
出处
《中国卫生标准管理》
2017年第20期37-40,共4页
China Health Standard Management
基金
福建省泉州市科技局2015年度医疗卫生领域指导性科技计划项目
关键词
高龄
孕产妇
妊娠
分娩
advanced age
pregnant women
pregnancy
delivery
