足月妊娠GDM孕妇不同终止妊娠时机对母婴结局的影响  

Influence of different timing of termination of pregnancy on maternal and neonatal outcomes in full-term pregnant women with GDM

作　　者：应群芳 裘梦佳 厉云 顾红红[1] YING Qunfang;QIU Mengjia;LI Yun;GU Honghong(Obstetrics Department,Cixi People’s Hospital Medical and Health Group,Cixi 315300,China)

机构地区：[1]慈溪市人民医院医疗健康集团产科,浙江慈溪315300

出　　处：《健康研究》2023年第1期88-90,共3页Health Research

摘　　要：目的探讨足月妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇不同终止妊娠时机对母婴结局的影响,为选择正确的终止妊娠时机,改善不良妊娠结局提供依据。方法选取300例足月妊娠GDM孕妇,根据终止妊娠时机分为A组(46例,分娩孕周<39周)、B组(158例,分娩孕周39~40周)和C组(96例,分娩孕周>40周),比较3组母婴结局。结果B组的巨大儿、胎儿窘迫、产后出血、妊娠高血压、新生儿高胆红素血症、新生儿低血糖、新生儿呼吸窘迫发生率均低于A组和C组(均P<0.05)。结论不同终止妊娠时机的母婴结局不同,39~40周为最佳终止妊娠时机,可明显改善GDM孕妇的妊娠结局,减少不良母婴结局。Objective To explore the influence of different termination timing of pregnancy on the maternal and fetal outcomes in full-term pregnant women with gestational diabetes(GDM)so as to provide a basis for selecting the right termination timing and improving the adverse pregnancy outcomes.Methods Three hundred full-term GDM pregnant women were selected and divided into group A(46 cases,delivery gestational week<39 weeks),group B(158 cases,39 to 40 weeks gestation)and group C(96 cases,delivery gestational week>40 weeks)according to the time of termination of pregnancy.The maternal and infant outcomes of the three groups were compared.Results The incidence rates of macrosomia,fetal distress,postpartum hemorrhage,pregnancy hypertension,neonatal hyperbilirubinemia,neonatal hypoglycemia,and neonatal respiratory distress in Group B were lower than those in Group A and Group C(all P<0.05).Conclusions Maternal and fetal outcomes vary with different timing of termination of pregnancy.The best timing of termination of pregnancy is 39-40 weeks,which can significantly improve the pregnancy outcome of GDM pregnant women and reduce adverse maternal and fetal outcomes.

关 键 词：妊娠期糖尿病 足月妊娠 终止妊娠时机 母婴结局 

分 类 号：R714.2[医药卫生—妇产科学]