延期妊娠引产对母儿结局的影响  

Induction of Labour on Maternal-Neonatal Outcomes in Prolonged Pregnancy

作　　者：高燕[1] 刘菊莲[1] 冯丽娟[1] 向川蓉[1] 邓雨峰[1] 

机构地区：[1]重庆市妇幼保健院,重庆400013

出　　处：《实用妇产科杂志》2010年第2期131-133,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨引产对延期妊娠母儿结局的影响。方法:回顾性分析延期妊娠孕妇437例,其中引产组276例,自然临产组161例。结果:①引产组的剖宫产率、平均住院日明显高于自然临产组,差异有统计学意义(P<0.05);②引产组和自然临产组的产后出血发生率、产褥病率、产时损伤发生率比较差异无统计学意义(P>0.05);③羊水Ⅲ度粪染发生率、新生儿窒息发生率两组比较差异有统计学意义(P<0.05)。结论:对延期妊娠孕妇是否进行引产,需进行综合评价,选择适合孕妇的期待或引产方案。Objective：To investigate the maternal-neonatal outcomes associated with induction of labour in prolonged pregnancy. Methods ：437 women in prolonged pregnancy were reviewed retrospectively, including 276 women undergoing induced labor and 161 women undergoing spontaneous labor. Reeulte：（1）The caesarean section rate and average hospitalization time in the induction group was significantly higher than that in spontaneous group（ P 〈 0.05）. （2）No statistically significant difference was observed between induction group and spontaneous group in the rate of postpartum hemorrhage, puerperal morbidity and intrapartum trauma （P 〉 0.05）. （3）There was significant difference in the incidence of III degree meconium-stain of the amniotic fluid, and neonatal asphyxia （ P 〈 0.05）. Conclusions： Induction of labor in prolonged pregnancy will increases the rates of caesarean section, the incidence rate of Ⅲ degree meconium-stain of the amniotic fluid, and neonatal asphyxia.

关 键 词：延期妊娠 引产 围生儿结局 

分 类 号：R714.21[医药卫生—妇产科学]