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目的探讨高龄孕产妇妊娠合并症、并发症及其对妊娠结局的影响。方法对我院547例≥35岁高龄孕产妇的临床资料进行回顾性分析,并选取同期分娩的501例<35岁的非高龄孕产妇作为对照,比较两组的分娩方式、妊娠合并症、并发症、围产儿情况及高龄初产妇与经产妇在分娩方式方面的差异,进行高危因素分析。结果高龄孕妇的剖宫产率、子宫肌瘤、贫血、高血压、前置胎盘、妊高症、妊娠期糖尿病、产后出血和新生儿窒息发生率均高于非高龄孕妇组;高龄初产妇多次流产及宫腔操作的发生率高于高龄经产妇。结论高龄孕妇的剖宫产率高,妊娠合并症、并发症发生率高,且以高龄初产妇为甚,高龄对围产儿结局有不利影响。应加强孕前期及围产期的知识宣教,定期产前检查,确保高龄孕妇分娩时母婴健康。
Objective To investigate the complications of pregnancy complicating pregnancy in pregnant women and its influence on pregnancy outcomes. Methods The clinical data of 547 pregnant women ≥35 years old in our hospital were retrospectively analyzed. The 501 pregnant women <35 years old at the same period were selected as the control. The mode of delivery, pregnancy complications, complications Symptoms, perinatal situation and the early primipara and the mothers in the mode of delivery differences, the risk factors. Results The incidence of cesarean section, uterine fibroids, anemia, hypertension, placenta previa, gestational hypertension, gestational diabetes mellitus, postpartum hemorrhage and neonatal asphyxia in older pregnant women were higher than those in non-pregnant pregnant women. The incidence of abortion and intrauterine operation was higher than that of the older mothers. Conclusion The elderly pregnant women have high rate of cesarean section, pregnancy complications, high incidence of complications, and the elderly primiparous, elderly adverse effects on perinatal outcomes. Knowledge and education should be strengthened prenatal and perinatal period, regular prenatal care to ensure that the elderly pregnant women at delivery child health.