三胎及四胎妊娠围产期管理及妊娠结局(附25例分析)  

The Perinatal Management and Outcome in Triplet and Quadruplet Pregnant Women :A analysis of 25 Cases

作　　者：王谢桐[1] 刘俊兰[1] 陈延琴[1] 李樑[1] 王佩贞[1] 

机构地区：[1]山东省立医院妇产科,济南250021

出　　处：《中华围产医学杂志》2002年第4期261-263,共3页Chinese Journal of Perinatal Medicine

摘　　要：目的　通过分析三胎及四胎妊娠妇女的临床资料 ,总结围产期治疗及管理方法 ,了解孕产妇及围产儿结局。　方法　回顾性分析 2 5例三胎及四胎妊娠的围产期处理方法及母儿结局。　结果　 16例三胎及 9例四胎妊娠的围产期管理方法包括营养、各种保胎措施、预防妊高征、胎儿监测及预防产后出血 ;分娩时平均孕周为 (35 .7± 2 .7)周和 (34.4± 2 .6 )周 ;新生儿平均出生体重为 (1981± 493) g和 (1817± 439) g;围产儿死亡率分别为 83‰ (4/ 48)和 16 7‰ (6 / 36 )。　结论　综合性的围产期管理可明显改善围产儿结局 ,减少母体并发症。Objective To summarize the effect of the perinatal management and treatment and to learn the perinatal outcome after analyzing the clinical material of tripletand quadruplet pregnant women. Methods We retrospectively analyzed the perinatal management methods and outcome of 25 cases trip-and quadruplet pregnancies. Results The perinatal management methods include nutrition, various means for tocolysis, prevention of PIH, fetal monitoring and prevention of postpartum hemorrage. The mean gestational age at delivery was (35.7±2.7) weeks and (34.4±2.6) weeks. the mean birthweight was (1981±493)g and (1817±439)g, the perinatal mortality was 83‰(4/48) and 167‰(6/36) respectively in triplet and quadruplet pregnancies. Conclusions The comprehensive perinatal management can improve perinatal outcome and reduce the maternal complications for multiple pregnancies

关 键 词：围产期管理 多胎妊娠 妊娠结局 

分 类 号：R714.7[医药卫生—妇产科学]