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计划分娩系因医学指征而适时终止妊娠,或因社会因素而进行的择期引产。计划分娩受人为控制科学管理产程是降低围产期并发症和死亡率、保证母儿健康的主要措施。我院1995年7月—1997年12月计划经阴道试产612例,临床分析如下。 1 临床资料 1.1 病例选择 为1995年1月—1999年12月在我院住院的孕妇,纳入标准。单胎足月妊娠,因胎膜早破、羊水过少、过期妊娠,妊娠合并糖尿病及妊娠高血压综合征孕周已达36周,且胎儿成熟度测定提示胎儿成熟,经过治疗病情稳定者。胎盘异常,软产道异常,母体不能耐受分娩的负荷,如心脏病、心衰、重症肝肾脏器疾患,子痫,先兆子痫有主要脏器合并症,胎儿不成熟,疤痕子宫及子宫肌瘤挖除通过宫腔者为计划分娩禁忌症。
Scheduled delivery is due to medical indications and timely termination of pregnancy, or due to social factors and elective induction of labor. Planned delivery of labor controlled by the scientific management of labor is to reduce perinatal complications and mortality, to ensure the health of the main measures. Our hospital from July 1995 to December 1997 plans to produce 612 cases of vaginal trial, the clinical analysis is as follows. 1 clinical data 1.1 case selection for January 1995 - December 1999 in our hospital pregnant women, included in the standard. Single fetal full-term pregnancy, due to premature rupture of membranes, oligohydramnios, expired pregnancy, gestational diabetes mellitus and pregnancy-induced hypertension syndrome gestational age has reached 36 weeks, and fetal maturity measured fetal maturity, after treatment of stable condition. Abnormal placenta, abnormal soft birth canal, the mother can not tolerate the burden of childbirth, such as heart disease, heart failure, severe liver and kidney disease, eclampsia, preeclampsia with major organ complications, fetal immature, scar uterus and uterine muscle Tumor removal through the uterine cavity contraception for the planned delivery.