高龄初产妇与高龄经产妇妊娠结局分析.docVIP

高龄初产妇与高龄经产妇妊娠结局分析 　　[摘要] 目的 探讨高龄初产妇与高龄经产妇对妊娠、分娩及胎儿结局的影响。方法 对我院2004年1月～2008年12月5年间住院分娩的高龄产妇730例进行回顾性分析。结果 13461例产妇中高龄初产妇81例,发生率0.60%,高龄经产妇649例,发生率4.82%。在胎儿窘迫、妊娠合并子宫肌瘤和早产方面差异有统计学意义(P0.05);高龄初产妇剖宫产率明显高于高龄经产妇,差异有非常显著性意义(P0.01)。结论 高龄产妇特别是流动人口中的高龄经产妇要加强围产期保健,定期进行产前检查,对高龄初产妇适当放宽剖宫产指征,对高龄经产妇应鼓励自然分娩,积极预防处理并发症,能完全顺利通过妊娠分娩。 　　[关键词] 高龄初产;高龄经产;高危因素 　　[中图分类号] R714.3 [文献标识码] A[文章编号] 1673-9701(2010)02-140-02 　　 　　Analysis on Pregnant Outcome of Elderly Primiparas and Experienced Parturients 　　NI Qin 　　Shunyi Maternal and Child Care Hospital,Beijing 101300 　　 　　[Abstract] Objective To study the influence of eldly primiparae and pluriparas on pregnancy,deliery and prognosis. Methods The clinical data of elderly lying-in women in our hospital from Feb 2004 to Dec 2008 were retrospectively analyzed. Results 81 elder lying-in women were found in 13461 pregnant women with incidence of 0.60%,and there were 649 elder multiparous lying-in women with incidence of 4.82%. Significant difference was found between elder primiparous and multiparous lying-in women on fetal distress,gesmtional myoma of uterus and premature delivery(P0.05);Cesarean section rate of eldly primiparae was much higher than that of eldly pluriparas(P0.01). Conclusion We should enhance perinatal health care, give prenatal examination regularly for elderly woman especially for elder multiparous women among fluid population,appropiately relox indications of cesarean section for elderly primiparas,encourage eldly pluriparas’normal lablr,deal with complications to make elldly puerpera to delivery safely. 　　[Key words] Elderly primiparous woman;Elderly multiparous woman;High risk factor 　　 　　由于晚婚晚育的影响及离婚、再婚的增加,再加上我区外来打工人员增加,高龄初产妇和高龄经产妇呈逐年增多的趋势,其妊娠分娩中的并发症及母儿预后已引起医师及社会关注,两者在妊娠结局上各有高危因素。2004年1月～2008年12月5年间在我院住院分娩的总计13 461例,现对其中住院分娩的高龄产妇及其新生儿进行回顾性分析,为指导临床提供依据,并报道如下。 　　 　　1资料与方法 　　 　　1.1一般资料 　　2004年1月～2008年12月在我院住院分娩的产妇总计13 461例。其中高龄初产妇81例,发生率0.60%,平均年龄36.64岁;高龄经产妇649例,发生率4.82%,平均年龄37.27岁。 　　1.2方法 　　分析两组的临床资料,对两组