68例多胎妊娠临床分析  

A clinical analysis of 68 cases multiple pregnancies

作　　者：石丽叶 邬晋芳[1] 厉云[1] 石美叶 陈丽娟[1] 韩瑞宁[1] 

机构地区：[1]西安交通大学第二附属医院妇产科,陕西西安710004

出　　处：《中国产前诊断杂志（电子版）》2015年第3期37-40,共4页Chinese Journal of Prenatal Diagnosis(Electronic Version)

摘　　要：目的探讨多胎妊娠的妊娠并发症及新生儿结局。方法对住院68例多胎妊娠(单胎2683例)进行回顾性统计分析。结果多胎妊娠的发生率为自然情况的2倍,其剖宫产率(91.04%)明显高于单胎(69.33%),婴儿死亡率(3.65%)为单胎的3.92倍,其新生儿窒息率为2.15%,产后出血率是单胎的9.86倍。结论多胎妊娠的增加与辅助生殖技术发展密切相关,多胎妊娠对母婴均是危险因素,增加产后出血的风险及婴儿死亡率,且易发生早产(46.21%),早产情况下婴儿发育未成熟,严重威胁到其健康,防治胎膜早破、妊娠并发症是处理多胎妊娠的关键。Objective To explore the multiple pregnancy complications and neonatal outcome of preg- nancy. Method Analysed the hospitalized 68 cases multiple pregnancy （2683 cases singletons） in the past year, including the general situation of pregnant women, pregnancy complications and neonatal outcome. Results The incidence of multiple pregnancies was 2.47 %, natural cases, the incidence of twin pregnancy was 1.12%, three pregnancy rate was 0.01%, and assisted reproductive technology development are in- separable, the cesarean delivery rate was 91.04%, higher than the single pregnancy, multiple pregnancy infant mortality rate 3.65 %, it is 3.92 times of singletons, multiple neonatal asphyxia rate was 2.15 %. It is 9.86 times of singletons. Multiple pregnancies with single pregnancy has no obvious difference in puer- peral disease rate. Conclusions The increase of multiple pregnancies are closely associated with assisted reproductive technology, multiple pregnancy on maternal and infant is a risk factor, increasing the risk of postpartum hemorrhage, the newborn infant mortality, prone to premature multiple pregnancy, preterm birth rate was 46.21 %, premature baby is immature, serious threat to the neonatal health quality, and at the same time to turn the new therapy for pediatric cause family social and economic burden, the prevention and treatment of premature rupture of membranes, prevention and treatment of pregnancy complications is the key to the treatment of multiple pregnancies.

关 键 词：多胎 单胎 妊娠并发症 新生儿结局 

分 类 号：R714.23[医药卫生—妇产科学]