影响孕晚期死胎延迟就诊的临床因素分析  

Analysis of clinical factors influencing delayed consultation of stillbirth after decreased fetal movement in late pregnancy

作　　者：潘秀玉 郭凯敏 周艳红 蒋艳敏 PAN Xiuyu;GUO Kaimin;ZHOU Yanhong;JIANG Yanmin(Department of Obstetrics and Gynecology,Guangzhou Women and Children's Medical Center,Guangzhou 510623,China)

机构地区：[1]广州市妇女儿童医疗中心妇产科,广州510623

出　　处：《广州医药》2020年第3期77-81,共5页Guangzhou Medical Journal

摘　　要：目的探讨影响孕晚期死胎伴胎动减少延迟就诊的临床因素,加强围产期宣教。方法回顾性分析2017年1月—2019年10月广州市妇女儿童医疗中心住院分娩的孕晚期(孕周≥28周)单胎死胎病例的相关临床资料。结果在79例死胎中,有59例(74.68%)孕妇感知胎动减少,但只有27人(45.76%)在感知胎动减少后24小时内就诊。妊娠未合并胎儿生长受限可能会导致延迟就诊(P=0.03<0.1)。结论胎动减少和死胎发生密切相关,但大部分孕妇可能会出现延迟就诊。加强孕期产检,规范孕期宣教,尤其是合并胎儿生长受限等高危妊娠时的孕期严密监测,强调胎动的重要性,在感知胎动减少后强调早期就诊,有助于减少孕晚期死胎风险。Objective To explore the clinical factors that affect the consultation time of stillbirth after perceptive reduction of fetal movement in the third trimester of pregnancy,and to strengthen the perinatal education.Methods A retrospective analysis of single stillbirth in late pregnancy(gestational weeks≥28 weeks)in Guangzhou Women and Children's Medical Center from January 2017 to October 2019 was taken,and the relevant clinical data were summarized and evaluated.Results Out of 79 stillbirth cases,59(74.68%)cases had decreased fetal motility.Only 27 pregnant women(45.76%)visited the doctor in 24 hours after they perceived the reduction of fetal movement.Pregnancy without fetal growth restriction may lead to delayed consultation(P=0.03<0.1).Conclusion Perception of decreased fetal movement is closely related to the occurrence of stillbirth,but most pregnant women may have delayed visits.To strengthen the prenatal examination,standardize the propaganda and education during pregnancy,especially the close monitoring of high-risk pregnancy such as fetal growth restriction,emphasize the importance of fetal movement,and emphasize the early consultation after perceiving the reduction of fetal movement,are helpful to reduce the risk of stillbirth in late pregnancy.

关 键 词：胎动减少 死胎 孕晚期 延迟就诊 

分 类 号：R714.5[医药卫生—妇产科学]