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目的探讨早产的相关因素及其对母儿的临床影响。方法选取我院在2011年5月~2013年5月收治的88例早产产妇作为研究对象,根据孕龄,将其分为A组(28~34+6孕周)、B组(35~36+6孕周),对两组产妇的临床资料进行回顾性分析。结果 88例早产产妇中,自然早产76例(86.4%),干预性早产12例(13.6%)。胎膜早破42例,占47.8%,所占比例最高,其次为妊娠高血压疾病(12.5%)、胎位异常(11.4%),再次为胎盘因素、妊娠期肝内胆汁淤积综合征(ICP),均占9.1%。早产产妇的产后出血率、RDS发生率及新生儿死亡率,均显著高于足月分娩者,P<0.05。B组的新生儿死亡率、RDS发生率以及Apgar评分低于7分、新生儿体重低于2500g的发生率,均显著低于A组,P<0.05。结论导致早产的主要因素是胎膜早破,新生儿死亡、发病主要与呼吸窘迫综合征有关,重视产前检查及孕期保健,有助于降低早产风险,改善母婴预后。
Objective To explore the related factors of preterm birth and its clinical effect on maternal and childbirth. Methods A total of 88 preterm pregnant women admitted to our hospital from May 2011 to May 2013 were enrolled in this study. According to their gestational age, they were divided into group A (28-34 + 6 gestational weeks), group B (35-36 +6 gestational age), the clinical data of two groups of maternal retrospective analysis. Results Of the 88 preterm labor women, 76 were premature (86.4%) and 12 (13.6%) were preterm preterm. Premature rupture of membranes in 42 cases, accounting for 47.8%, the highest proportion, followed by pregnancy-induced hypertension (12.5%), abnormal fetal position (11.4%), placental factors again, intrahepatic cholestasis of pregnancy (ICP) , Both accounting for 9.1%. The rate of postpartum hemorrhage, RDS and neonatal mortality in preterm labor were significantly higher than those in term delivery (P <0.05). The neonatal mortality rate, RDS incidence and Apgar score in group B were less than 7 points, and the incidence of neonates weighing less than 2500g was significantly lower than that in group A (P <0.05). Conclusions The main causes of preterm birth are premature rupture of membranes and death of newborns. The incidence is mainly related to respiratory distress syndrome. Emphasis on prenatal care and prenatal care is helpful to reduce the risk of preterm birth and improve the prognosis of maternal and infant.