过期妊娠分娩时机和方式的选择对母婴的影响

Effects of postterm pregnacy on the pregnat women and perinatal children

摘要: 目的: 探讨过期妊娠对母体及围生儿的影响及适时终止妊娠的意义。方法: 对4 383例分娩产妇作一回顾性分析。结果: 过期妊娠组手术产、产后出血、羊水过少、巨大胎儿、胎儿宫内窘迫、新生儿窒息、围生儿死亡率等均高于足月妊娠组(P<0.01~P=0.000)。结论: 过期妊娠对母婴的危害极大,应尽力避免过期妊娠的发生,适时终止妊娠,选择适当的分娩方式,改善母儿预后。

Abstract: Objective: To investigate the effect of postterm pregnancy on the prognosis of the pregnant women and the perinatal children.Methods: The records of 4 383 multiparas from January 2001 to July 2005 were retrospectively analyzed.Results: The incidence of caesarean section,the postpartum hemorrhage,the oligohydramnios,the fetal macrosomia,the fetal distress and the perinatal death in postterm pregnancy group were higher than those in the term pregnancy group(P<0.01 and P=0.000).Conclusions: The postterm pregnancy is very harmful to the pregnant women and the perinatal children.In order to reduce the incidence of postterm pregnancy and improve the prognosis of the pregnant women and the perinatal children,the pregnancy should be terminated in time.