高龄孕妇妊娠并发症及妊娠结局分析  

Analysis on complication and outcomes of pregnant women of advanced maternal age

作　　者：郑翠仙[1] 林元[1] 陈水仙[1] 陈小梅[1] 黄欣欣[1] 黄慧卿[1] 翁云钦[1] 黄纬美[1] 

机构地区：[1]福建医科大学教学医院福建省妇幼保健院,福州350001

出　　处：《海峡预防医学杂志》2015年第4期7-9,共3页Strait Journal of Preventive Medicine

基　　金：福建省科技计划项目(No.2012Y0011);福建省科技厅重点项目(No.2013YZ0002-1);福建省临床重点专科建设项目(No.2012149)

摘　　要：目的探讨妊娠并发症、妊娠结局与孕妇年龄的关系。方法选取2013年1月至10月943例高龄孕妇为高龄组,同期947例适龄孕妇为对照组,分析两组妊娠并发症发生率、剖宫产率及新生儿出生情况。结果高龄组妊娠期孕妇高血压和糖尿病、前置胎盘、胎盘早剥、羊水过多、产后出血、早产、新生儿窒息和剖宫产发生率均高于对照组,而胎膜早破、羊水过少、胎儿窘迫、死胎、小于胎龄儿和巨大儿发生率差异无统计学意义。结论高龄孕妇妊娠并发症发生率和剖宫产率高,但是否高龄对新生儿影响不大。应加强高龄孕妇孕期保健,积极治疗并发症,以获得良好的妊娠结局。Objectives To explore the relationship between pregnancy complication,the outcomes and maternal age.Methods Totally 943 pregnant women of advanced maternal age（AMA）were selected from Jan.2013 to Oct.2013 as case group,and 947 women of non-AMA as control group.The incidence of the complication,caesarean section and the outcomes of neonate were compared between case and control groups.Results The incidence of hypertension,diabetes,placenta previa,placental abruption,polyhydramnios,postpartum hemorrhage,premature delivery,neonatal asphyxia and caesarean section in case group were significantly higher than that in control group,but no significantly difference for premature rupture of membrane,oligohydramnios,fetal distress,fetal death,small for gestation age,fetal macrosomia between case and control group.Conclusions The incidence of pregnancy complications and caesarean section were higher in case group,while the outcomes of neonate were not significantly related to AMA or nonAMA.Antenatal care should be strengthen to pregnant women of AMA,to give active treatment of pregnancy complication for getting good pregnancy outcomes.

关 键 词：高龄孕妇 妊娠并发症 妊娠结局 

分 类 号：R714.5[医药卫生—妇产科学]