高龄初产妇的妊娠、分娩经过与妊娠结局探讨

• 作 者: 张凌云 赵艳辉 张为远
• 机 构: 第一军医大学珠江医院妇产科,白求恩医科大学第二临床医院妇产科,白求恩医科大学第二临床医院妇产科 广州 510282
• 出 处: 中国基层医药
• 发表日期: 2000年03期
• 关键词: 高龄初产妇 妊娠结局 妊娠 围生儿病死率 剖宫产 阴道助产率 围生期保健 妊娠期合并症 胎儿双顶径 单胎初产

目的 探讨高龄初产妇对妊娠经过、分娩过程及胎儿结局的影响。方法 采用回顾性分析的方法。结果 高龄初产妇在妊娠期合并症及并发症中,除妊高征的发生率明显高于对照组外,余两组间差异均无显著意义;高龄初产妇的剖宫产率逐年增加;产程及异常分娩与对照组相比未见差异;高龄初产妇在胎儿双顶径方面显著低于对照组,而新生儿体重、Apgar评分、围生儿病死率、羊水平段(MVP)等方面差异均无显著意义。结论 高龄初产妇只要加强围生期保健,定期进行产前检查,积极预防及及早处理妊高征(PIH),能完全顺利地经过妊娠、分娩。

Objective To investigate the effect of early primipara on pregnancy course, labor process and fetal outcome. Methods The method of retrospective analysis. Results In the first trimester of pregnancy complications and complications, in addition to the incidence of pregnancy-induced hypertension was significantly higher than the control group, no significant difference between the two groups; cesarean section rate of older primiparae increased year by year; labor And abnormal delivery did not differ from those in the control group. The rate of primiparae in the fetus was significantly lower than that of the control group in terms of fetal biparietal diameter, while neonatal body weight, Apgar score, perinatal mortality and MVP No significant significance. Conclusions Early primiparae can go through pregnancy and childbirth completely and smoothly as long as they strengthen perinatal care, conduct regular antenatal examination, and actively prevent and treat early PIH.