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目的研究孕期产妇体质量增加对分娩方式及分娩结局的影响。方法选取2015年2月至2016年8月进行分娩且孕期体质量增长过度的产妇364例作为观察组,另取同期364例孕期体质量增长正常的孕妇作为对照组。分别对比两组分娩方式及分娩结局。结果对照组产妇自然分娩率显著高于观察组,而剖宫产率显著低于观察组,差异有统计学意义(P<0.05)。对照组滞产率及产程延长率均显著低于观察组,差异有统计学意义(P<0.05)。对照组巨大儿、产后出血发生率均显著低于观察组,差异有统计学意义(P<0.05)。对照组新生儿并发症发生率显著低于观察组,差异有统计学意义(P<0.05)。结论孕期产妇体质量增加过度会增加剖宫产率、巨大儿发生率以及产后出血率,并增加新生儿并发症发生率。
Objective To study the influence of pregnant women during pregnancy on the mode of delivery and delivery outcome. Methods From February 2015 to August 2016, 364 pregnant women who gave birth and overweight during pregnancy were selected as the observation group. Another 364 pregnant women with normal weight gain during the same period were selected as the control group. The two groups were compared with the mode of delivery and delivery outcomes. Results The spontaneous labor rate of the control group was significantly higher than that of the observation group, while the rate of cesarean section was significantly lower than that of the observation group (P <0.05). The control group, delayed labor rate and prolonged labor rate were significantly lower than the observation group, the difference was statistically significant (P <0.05). The incidence of postpartum hemorrhage was significantly lower in the control group than in the observation group, with significant difference (P <0.05). The incidence of neonatal complications in the control group was significantly lower than that in the observation group (P <0.05). Conclusion Excessive maternal weight increase during pregnancy may increase the rate of cesarean section, macrosomia and postpartum hemorrhage, and increase the incidence of neonatal complications.