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目的结合高龄产妇的实际孕期保健情况,对其在高龄产妇并发症及妊娠结局中的影响效果展开探究、分析。方法抽取2015年1月—2017年1月,实施孕期检查及生产的高龄孕妇108名作为研究样本,随机分为两组,即对照组和观察组,每组54名。对照组高龄孕妇选用以往最常采取的常规检查指导方式,观察组则选用孕期保健方式,观察并比较两组高龄产妇并发症的发生情况及发生率、妊娠结局。结果高龄产妇妊娠结束后易发生低血糖、巨大儿及新生儿窒息等并发症。观察组中以上3种并发症发生率明显低于对照组(P<0.05);观察组自然分娩成功率为75.93%,明显超过对照组29.63%,且难产率为3.70%,相比于对照组9.23%,下降效果显著,观察组中无死胎情形发生,即观察组妊娠结局明显优于对照组(P<0.05)。结论对高龄产妇采取孕期保健方式开展产前护理工作,减少产妇在生产过程中选择剖宫产方式的可能性,使巨大儿出现率、新生儿窒息发生率下降趋势显著,对高龄产妇并发症发生率的降低具有积极作用,有利于更佳妊娠结局的出现。
OBJECTIVE: To investigate and analyze the effect of elderly pregnant women on their maternal complications and pregnancy outcomes in combination with the actual health status during pregnancy. Methods From January 2015 to January 2017, 108 pregnant women undergoing pregnancy examination and production were randomly divided into two groups, ie, control group and observation group, with 54 in each group. The control group of older pregnant women to choose the most commonly used in the past to take the usual examination guide mode, the observation group is the choice of health care during pregnancy, observed and compared the incidence and incidence of complications of the two groups of elderly maternal and pregnancy outcomes. The results of older mothers prone to hypoglycemia after pregnancy, giant children and neonatal complications such as suffocation. The incidence of the above three complications in the observation group was significantly lower than that in the control group (P <0.05). The success rate of natural childbirth in the observation group was 75.93%, significantly higher than that of the control group (29.63%) and the refractory rate was 3.70% 9.23%. The declining effect was significant. No fetal death occurred in the observation group, that is, the observation group had significantly better pregnancy outcomes than the control group (P <0.05). Conclusion The prenatal care for pregnant women of the older age is taken during prenatal care to reduce the possibility of choosing cesarean section in the process of production. The incidence of giant children and neonatal asphyxia are significantly decreased. Lower rate has a positive effect, is conducive to better pregnancy outcomes.