再生育孕妇临床特点及妊娠结局分析  

Clinical Characteristics and Pregnancy Outcome of Re-birth Pregnant Women

作　　者：程贤鹦[1] 钱林华[2] 程丽 孟盎盎 CHENG Xian-ying QIAN Lin-hua CHENG Li MENG Ang-ang(Department of Obstetrics and Gynaecology , Zhejiang Hospital, Hangzhou 310013, China Department of Obstetrics and Gynaecology, Women＇s Hospital School of Medicine Zhejiang University, Hangzhou 510008, China Department of Obstetrics and Gynaecology, Hangzhou Xixi Hospital, Hangzhou 310028, China Department of Obstetrics and Gynaecology, Zhefiang University International Hospital, Shulan （Hangzhou） Hospital, Hangzhou 310022, China)

机构地区：[1]浙江医院妇产科,浙江省杭州市310013 [2]浙江大学医学院附属妇产科医院妇产科,浙江省杭州市310008 [3]浙江省杭州市西溪医院妇产科,310028 [4]浙江大学国际医院树兰(杭州)医院妇产科,浙江省杭州市310022

出　　处：《中国全科医学》2017年第20期2485-2489,共5页Chinese General Practice

摘　　要：背景"全面二孩"后再生育人群结构发生变化,给围生医学领域带来新的挑战,为此,总结再生育孕妇的临床特点和妊娠结局以提高其围生期保健水平,保障母婴安全。目的探讨再生育孕妇临床特点及妊娠结局。方法选取2016年3月浙江大学医学院附属妇产科医院再生育分娩的孕妇372例为研究组,选取同期非再生育分娩的孕妇300例为对照组。查阅两组孕妇病历资料,收集基本情况、妊娠并发症、产科并发症、产后并发症、围生儿并发症的发生情况。结果两组年龄、孕周、流产次数、学历、受孕方式、无创产前基因检测、羊水穿刺检查率比较,差异有统计学意义(P<0.05)。两组胎盘早剥、羊水过少、胎儿生长受限、妊娠期肝内胆汁淤积症、胎儿窘迫、胎膜早破发生率比较,差异无统计学意义(P>0.05)。研究组孕妇妊娠期高血压疾病、妊娠期糖尿病、前置胎盘、胎盘植入、羊水过多及早产发生率高于对照组(P<0.05)。两组产褥感染发生率比较,差异无统计学意义(P>0.05)。研究组阴道分娩比例低于对照组,产后出血、产后贫血发生率高于对照组(P<0.05)。两组低出生体质量儿、新生儿呼吸窘迫综合征、死胎发生率比较,差异无统计学意义(P>0.05)。研究组巨大儿、新生儿窒息、新生儿低血糖、新生儿畸形发生率高于对照组(P<0.05)。结论再生育孕妇年龄较大,多继发不孕,辅助生育率高,妊娠期并发症和产科并发症发生率、剖宫产率升高,巨大儿、新生儿窒息、新生儿畸形等不良围生儿结局增多。Background The structure of re-birth pregnant women has changed after ＂ comprehensive two-children policy ＂,which brings new challenge in the perinatal medical field. In order to improve the level of perinatal health care and safeguard mother-to-child safety,the clinical features and pregnancy outcomes of re-birth pregnant were summarized in this paper. Objective To explore the clinical features and pregnancy outcome of re-birth pregnant women. Methods Three hundred and seventy-two cases of re-birth pregnant women in Women＇s Hospital School of Medicine Zhejiang University,were selected as the study group in March 2016,and 300 cases of non-re-birth pregnant women in the same period were selected as the control group. The medical records of the two groups of pregnant women were consulted,and the basic conditions,pregnancy complications,obstetric complications,postpartum complications,and perinatal complications were collected. Results There were significant differences between the two groups in age,gestational age,abortion,education,conception and rate of non-invasive prenatal gene detection and amniocentesis（ P〈0. 05）. There were no significant differences in the incidence of placental abruption, oligohydramnios, fetal growth restriction, intrahepatic cholestasis of pregnancy, fetal distress and premature rupture of membranes（ P〈0. 05）. The incidence of hypertensive disorder complicating pregnancy, gestational diabetes mellitus,placenta previa,placenta accreta,hydramnios and premature birth in the study group were higher than those in the control group（ P〈0. 05）. There was no significant difference in the incidence of puerperal infection between the two groups（ P〈0. 05）. The incidence of vaginal delivery was lower in the study group than in the control group,the incidence of postpartum hemorrhage and postpartum anemia in the study group were higher than those of the control group（ P〈0. 05）. There were no significant differences between the two groups in the incidence of low birt

关 键 词：妊娠次数 妊娠并发症 妊娠结局 

分 类 号：R173[医药卫生—妇幼卫生保健]