过期妊娠胎儿的分娩方式及妊娠终止时机差异性预后影响分析  

Analysis of the Effect of Different Mode of Delivery and Pregnancy Termination Timing for Prolonged Pregnancy on the Fetal Outcome

作　　者：鄂眉 

机构地区：[1]妇女儿童医院,辽宁丹东118000

出　　处：《中外医疗》2015年第9期18-19,共2页China & Foreign Medical Treatment

摘　　要：目的分析过期妊娠胎儿的分娩方式及妊娠终止时机差异性对预后的影响。方法回顾性分析某院2012年5月—2014年11月收治的100例过期妊娠产妇(研究组)及同期80例延期产妇(对照组)临床资料,探究不同分娩方式及妊娠终止时机对胎儿预后的影响。结果研究组顺产胎儿中新生儿窒息8例(25%)、胎儿窘迫15例(46.9%),与剖宫产新生儿窒息3例(4.4%)、胎儿窘迫12例(17.6%)相比较,差异有统计学意义(P<0.05);研究组胎儿窘迫27例(27%)、新生儿窒息11例(11%)、产后出血11例(11%)、产程延长25例(25%),对照组分别为12例(15%)、2例(2.5%)、4例(5%)、3例(3.8%),组间差异有统计学意义(P<0.05)。结论过期妊娠产妇采取剖宫产能够有效降低胎儿窘迫、新生儿窒息发生率,提高胎儿预后,而延期妊娠产妇应加强临床产检、适时终止妊娠,以避免形成过期妊娠,影响胎儿预后。ObjectiveTo analyze the effect of different mode of delivery and pregnancy termination timing for prolonged pregnancy on the fetal outcome.Methods A retrospective analysis was conducted on the clinical data of 100 puerperants with prolonged pregnancy（study group） and 80 puerperants with delayed pregnancy（control group） admitted in our hospital from May 2012 to November 2014. And the effect of different mode of delivery and pregnancy termination timing on the prognosis of fetal outcome was investigated.Results In the study group, of the fetuses delivered naturally, there were 8 cases with neonatal asphyxia（25%）, 15 cases with fetal distress（46.9%）; of the fetuses delivered by cesarean section, there were 3 cases with neonatal asphyxia（4.4%）, 12 cases with fetal distress（17.6%）, the differences in neonatal asphyxia and fetal distress between the fetuses delivered naturally and those delivered by cesarean section in the study group were statistically significant（P〈0.05）. In the study group, there were 27 cases with fetal distress（27%）, 11 cases with neonatal asphyxia（11%）, 11 cases with postpartum hemorrhage （11%）, 25 cases with prolonged labor（25%）, in the control group, there were 12 cases with fetal distress（15%）, 2 cases with neonatal asphyxia（2.5%）, 4 cases with postpartum hemorrhage（5%）, 3 cases with prolonged labor（3.8%）, the differences between the two groups were statistically significant（P〈0.05）. Conclusion For puerperants with prolonged pregnancy, cesarean section can effectively reduce the incidence of fetal distress and neonatal asphyxia and improve the prognosis of the fetus. For puerperants with delayed pregnancy, strengthened clinical antenatal care and timely termination of pregnancy can avoid the formation of prolonged pregnancy which in turn affects the fetal outcome.

关 键 词：过期妊娠 顺产 剖宫产 延期妊娠 预后 

分 类 号：R59[医药卫生—内科学]