妊娠晚期产前出血对母婴结局的影响分析  

Effect of antepartum hemorrhage on maternal and infant outcomes in late pregnancy

作　　者：徐静[1] 陈艳琴[1] 王家俊[1] XU Jing;CHEN Yan-qin;WANG Jia-jun(Department of Gynecology,Wuxi Maternal and Child Health Care Hospital,Wuxi Jaingsu 214000,China)

机构地区：[1]江苏省无锡市妇幼保健院妇科,214000

出　　处：《蚌埠医学院学报》2019年第1期28-30,共3页Journal of Bengbu Medical College

基　　金：江苏省卫计委妇幼保健重点项目(F201522)

摘　　要：目的:探析妊娠晚期产前出血对母婴结局的影响。方法:选择妊娠晚期孕产妇110例作为研究对象,根据是否出现产前出血分为对照组(82例,产前未出血)和观察组(28例,产前出血)。对2组临床资料进行分析,并对孕产妇发生妊娠晚期产前出血的原因进行统计,比较2组孕产妇及新生儿的妊娠结局。结果:观察组28例孕晚期出血原因为前置胎盘、胎盘早剥、宫颈疾病及其他,发生率分别为50.00%、32.14%、14.29%和3.57%。2组孕产妇产后出血发生率比较差异无统计学意义(P>0.05),观察组阴道分娩率低于对照组(P<0.01),剖宫产率和子宫切除率均高于对照组(P<0.01和P<0.05);观察组早产和新生儿窒息率均高于对照组(P<0.05),胎儿窘迫和死胎发生率在2组间差异均无统计学意义(P>0.05)。结论:存在妊娠晚期产前出血,孕产妇及新生儿不良结局的发生概率将显著增加,医护人员应根据产妇具体情况,及时对其展开针对性临床干预措施。Objective:To investigate the influence of antepartum hemorrhage on maternal and infant outcomes in late pregnancy.Methods:One hundred late pregnant women were divided into the control group(82 cases,no antepartum hemorrhage)and observation group(28 cases,antepartum hemorrhage).The clinical data of two groups were analyzed.The causes of antepartum hemorrhage in late pregnancy were analyzed,and the pregnancy outcomes of pregnant women and neonates were compared.Results:The late pregnancy bleeding causes were placental abruption,placenta previa,cervical and others in observation group,and the incidence rates were 50%,32.14%,14.29%and 3.57%,respectively.The incidence rate of postpartum hemorrhage between two groups was not statistically significant(P>0.05).The rate of vaginal delivery in observation group was lower than that in control group(P<0.01).The incidence rates of cesarean section,hysterectomy,and premature birth and neonatal asphyxia in observation group were higher than those in control group,respectively(P<0.01 and P<0.05).The differences of the incidence rates of fetal distress and stillbirth between two groups were not statistically significant(P>0.05).Conclusions:The incidence rates of the poor outcomes in late pregnancy women with antepartum hemorrhage increase significantly.The targeted clinical intervention should be implemented in medical personnel according to the specific situation.

关 键 词：妊娠晚期 产前出血 母婴结局 

分 类 号：R714.2[医药卫生—妇产科学]