孕期足月妊娠羊水过少者不同分娩方式对临床效果、分娩结局及预后的影响  

Effects of Different Delivery Modes on Clinical Outcome,Childbirth Outcome and Prognosis for Full-term Pregnancy with Oligohydramnios

作　　者：尹新红 张剑萍 YIN Xin-hong;ZHANG Jian-ping(Wuxi maternal and child health care hospital affiliated to Nanjing Medical University,Jiangsu Wuxi 214002,China)

机构地区：[1]南京医科大学附属无锡妇幼保健院,江苏无锡214002

出　　处：《临床医药文献电子杂志》2020年第87期6-7,11,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的对孕期足月妊娠羊水过少者选择不同分娩方式的临床效果、分娩结局和预后情况加以分析。方法对本院2015年6月—2017年12月收治孕期足月妊娠羊水过少150例产妇临床资料加以分析,将其设为观察组,按照羊水过少程度划分为绝对羊水过少组与临界羊水过少组,各75例,且按照选择的不同分娩方式分为剖宫产和阴道分娩,另选取同期分娩正常产妇150例设为对照组,对2组临床效果、分娩结局和预后情况进行比对、分析。结果临界羊水过少组剖宫产胎心监护异常所占比例比阴道分娩高,且绝对羊水过少组剖宫产新生儿窒息和死亡发生率均比阴道分娩低,且临界羊水过少组产后羊水量比绝对羊水过少组多(P<0.05)。结论孕期足月妊娠临界羊水过少者选择剖宫产具一定效果,但和分娩正常产妇相比,将增加其产后出血等发生率,不利于预后改善。Objective To analyze the clinical outcomes,delivery outcomes and prognosis of the different delivery methods for women of full-term pregnancy with oligohydramnios.Methods The clinical data of 150 parturients with oligohydramnios during pregnancy who had delivered in the Hospital between June 2015and December 2017 were analyzed and taken as the observation group.According to the severity of oligohydramnios,these women were divided into an absolute oligohydramnios group and a critical oligohydramnios group,with 75 cases in each group.Additionally,according to the selected delivery methods,these women were divided into a cesarean section group and a vaginal delivery group.Another 150 normal maternal women who had delivered in the Hospital during the same period were selected as the control group.The clinical effects,childbirth outcomes,and prognosis were compared between the two groups.Results In the critical oligohydramnios group,the proportion of women with abnormal FHR monitoring during cesarean section was higher than that during vaginal delivery.In the absolute oligohydramnios group,the incidence of neonatal asphyxia and death during cesarean section was lower than that during vaginal delivery,and the postpartum amniotic fluid volume in the critical oligohydramnios group was larger than that in the absolute oligohydramnios group.(P<0.05).Conclusion For women of full-term pregnancy with critical oligohydramnios is with certain effect,but the incidence of postpartum hemorrhage will be increased compared with parturient woman with normal amniotic fluid volume,which is not helpful for the improvement of prognosis.

关 键 词：羊水过少 足月妊娠 正常产妇 分娩结局 预后 

分 类 号：R714[医药卫生—妇产科学]