延期妊娠的妊娠结局分析.pdfVIP

怀化医专学报 J0URNAL OF HUAIHUA MEDICAL COLLEGE 37 延期妊娠的妊娠结局分析 邓开玉，田小英，易礼兰 (怀化医专护理系，湖南怀化 418000) [摘 要] 目的 分析延期妊娠的妊娠结局。 方法 选择2004年7月一12月入院的产妇，孕4O“ 一 41¨周235例为观察组，孕37—4O周252例为对照组，对其临床资料进行回顾性分析。 结果 观察组中胎 盘Ⅲ 级5O例，羊水过少33例，羊水Ⅱ。 Ⅲ。污染48例，胎儿窘迫45例，新生儿窒息32例，阴道助产 86例，剖 宫产9O例，产后出血14例，其发生率明显高于对照组，差异有显著性意义 (P0．05)。两组间死胎、死产、新生 儿死亡、巨大儿、低体重儿及产褥感染发生率差异无显著性意义 (P0．05)。 结论 延期妊娠时胎盘功能减 退，羊水量减少，胎儿窘迫、新生儿窒息发生率增加，阴道助产、剖官产及产后出血机会亦增多。因此，必须加强 孕期管理，核实孕周，积极采取措施及时终止妊娠，防止妊娠延期，以减少对母儿的危害。 [关键词]．延期妊娠； 妊娠结局； 分娩 [中图分类号] R714．21 [文献标识码] A [文章编号] 0163(2007)02—0037—03 Final Results of Delayed Pregnancy DENG Kai—yu，TIAN Xiao—ying，YI Li—lan (Department of Nursing。Huaihua Medical College，Huaihua，Hunan 418000) [Abstract] Objective To analyze the final results of delayed pregnancy．Methods The puerperas were select— ed from July to December 2004，235 cases of pregnancy for 40 ～41 weeks were taken as a group under observation。 and 252 cases of pregnancy for 37～40 weeks as a group of contrast A retrospective analysis about the clinical materials was made．Results For the former group，50 cases were at placental maturityⅢ degree。33 cases of oligohydramni OS，48 cases at amniotic fluid turbidityⅡ～m degree，45 cases of fetal distre s s，32 cases of neonatal asphyxia，86 cases assisted vaginal delivery，90 cases of cesarean section and 14 cases of postpartum hemorrhage．The incidence was obvi ously higher than that of the contrast group．The difference between the two groups is obvious(P0．05)．As to fetal death，stillbirth，n