对超过预产期不同时间实行计划分娩探讨  

Planned delivery in different time over expected date of confinement

作　　者：赵文霞[1] 曹丽秋[1] 赵文艳[1] 马秋菊 

机构地区：[1]佳木斯市中心医院妇产科 [2]同江市妇婴医院

出　　处：《黑龙江医药科学》1998年第4期7-9,共3页Heilongjiang Medicine and Pharmacy

摘　　要：对过期妊娠不同时间，即妊娠40周、41周实行计划分娩，并与同期过期妊娠进行结果比较：剖宫产率，妊娠40周为14．28％，41周为30.7％,过期妊娠为62％；胎儿宫内窘迫率，妊娠40周为4．76％，41周为15．38％，过期妊娠为50％；新生儿呼吸道并发症：妊娠40周为0．59％,41周为1．64％，过期妊娠6.00％；新生儿死亡率，妊娠40周为0．59％,41周为1．09％,过期妊娠为3.00％.随着孕龄增加，剖宫产率、胎儿宫内窘迫率及新生儿呼吸道并发症、新生儿死亡率均有增高，并且有显著差异（P＜0．05）．结果提示：在妊娠40周时胎盘尚未老化，母婴未受到危害时应及时终止妊娠，具有一定重要意义．Planned delivery was made to those at different times, namely in pregnancy 40 weeks and 41 weeks and comparision was made with prolonged pregnancies in the corresponding period of time. The results showed that the rates of cesarean section in pregnancy of 40 weeks and 41 weeks were respectively 14.28% and 30.7%. while that of prolonged pregnancy was 62%.The rates of fetal distress inuterus was 4.76%, 15.38% and 50%. The respiratery tract complication for the newborn was 0.59%, 1.64% and 6%. The death rates of the newborn was 0.59%, 1 .01% and 3% respectively The data indicated that the rates of cesarean section, the fetal distressin uterus, and spiratery tract complication and the,death rates of the newbom increased with pregnancy days. It's suggested that prolonged pregnacy in times of 40 weeks should be brought to a close in time, while the placenta was not aging and its function is still in good condition.

关 键 词：过期妊娠 计划分娩 病理 

分 类 号：R714.21[医药卫生—妇产科学]