目的 探讨妊娠≥41周孕妇实施干预性措施的可行性。方法 回顾性分析2001年8月至2002年8月于北京妇产医院分娩的妊娠≥41周孕妇401例,其中干预组201例,期待组200例,对两组的妊娠结局、母婴的影响及住院费用等行统计学分析。结果 干预组与期待组在分娩方式、母婴并发症方面无显著性差异,但干预组中出现的阴道分娩率不高、急症剖宫产增多、产程延长、住院费用高、新生儿结局无改善等问题不容忽视。结沦 对妊娠≥41周孕妇,在加强监护的基础上期待妊娠,是完全可行的。干预应有指征,并根据不同的宫颈条件,选择适当的引产方法。 Objective To investigate the feasibility of intervention measures for pregnant women ≥41 weeks pregnant. Methods Retrospective analysis of 401 pregnant women with gestational age ≥41 weeks who were delivered at Beijing Maternity Hospital from August 2001 to August 2002, of which 201 were in the intervention group and 200 in the expectant group. The pregnancy outcomes and maternal and infant effects in both groups were retrospectively analyzed. And hospitalization costs and other statistical analysis. Results There was no significant difference between the intervention group and the expectant group in terms of mode of delivery and maternal and infant complications. However, the rate of vaginal delivery in the intervention group was not high, the incidence of cesarean section was increased, the duration of labor was prolonged, the cost of hospitalization was high, and the outcome of newborns was not improved And other issues can not be ignored. Results of pregnancy reduced to ≥ 41 weeks of pregnancy, pregnant women, based on strengthening the monitoring of pregnancy, is entirely feasible. Intervention should be indications, and according to different cervical conditions, choose the appropriate induction of labor.