289例青春期妊娠初产妇产科结局分析  

Analysis of obstetric outcomes in 289 cases of adolescent pregnancy

作　　者：王昊珏[1] 陆显义 

机构地区：[1]无锡市锡山人民医院(东南大学附属中大医院无锡分院)妇产科,江苏无锡214011

出　　处：《中国计划生育和妇产科》2015年第9期38-41,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨青春期妊娠分娩产科结局的特点。方法对2010～2014年无锡市锡山人民医院分娩的289例青春期妊娠初产妇与同期300例成年产妇的临床资料进行回顾性对照分析。结果青春期组阴道分娩、早产、急产的发生率（分别为74．0％、14．9％、4．5％）高于成年组（分别为47．3％、3．7％、1．3％）（P〈0．05）；青春期组并发妊娠期高血压疾病、贫血、产后出血、宫颈裂伤、阴道壁血肿的发生率（分别为10．0％、7．6％、2．8％、3．5％、22．1％）均高于成年组（分别为4．0％、1．3％、0．7％、1．O％、3．7％）（P〈0．05）；青春期组新生儿出生缺陷及新生儿窒息率（3．1％、3．8％）高于成年组（0．7％、1．0％）（P〈0．05）。结论青春期妊娠母儿结局均较成年组差，青春期妊娠产妇更应加强围产期保健及监测，尽可能地改善妊娠及分娩结局。Objective To explore the characteristics of obstetric outcomes of adolescent pregnancy. Methods A retrospective case - control study was performed in 289 cases of adolescent pregnancy and 300 cases of adult pregnancy in Xishan People＇s Hospital of Wuxi City from 2010 to 2014. Results The rate of natural delivery premature delivery and precipitate labor of adolescent group （74.0 % ,14. 9 % ,4. 5 % ） were higher than those of adult group （47. 3 %, 3.7 %, 1.3 % ） （P 〈0.05）. The incidence of preeclampsia, anemia, postpartum hemorrhage, cervical laceration, vaginal wall hematoma of adolescent group （ 10. 0 % ,7. 6 % ,2. 8 % ,3.5 %, 22. 1% ） were higher than those of adult group （4. 0 %, 1.3 %, 0. 7 %, 1.0 %, 3.7 % ） （ P 〈 0. 05 ）. The incidence of birth defects and neonatal asphyxia of adolescent group （3.1% , 3.8 % ） were higher than those of adult group （0. 6 %, 1.0 % ） （ P 〈 0.05 ）. Conclusion The maternal and fetal outcomes of adolescent pregnancy are poor than adult pregnancy, adolescent pregnancy should strengthen perinatal care and monitoring, to improve the pregnancy and birth outcomes.

关 键 词：青春期妊娠 产科结局 妊娠合并症 

分 类 号：R715.3[医药卫生—妇产科学]