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目的:分析妊娠合并羊水过少对产妇围生结局及分娩的影响。方法:选取2013年1月~2014年12月之间于我院就诊并分娩的150例妊娠合并羊水过少孕妇,设为观察组,另外选择同时期于我院分娩的150例羊水正常孕妇设为对照组,观察、记录并比较两组产妇的分娩情况以及围产儿结局。结果:观察组产妇与对照组正常产妇相比,产后出血量较多,产程较长,妊娠期高血压综合征、剖宫产分娩、羊水污染发生率均高于对照组,P<0.05,差异显著;观察组围产儿的脐带绕颈、吸入性肺炎、胎位异常、胎儿宫内窘迫、窒息发生率以及死亡率均大于对照组,Apgar评分低于对照组,P<0.05,差异显著。结论:妊娠合并羊水过少的产妇与正常产妇相比,容易发生各种并发症或不良结局,妊娠结局较差,临床上需要加强产前检查与孕期保健,对于高危产妇选择合适的分娩方式,保障母婴安全。
Objective: To analyze the effect of pregnancy with oligohydramnios on perinatal outcome and delivery. Methods: From January 2013 to December 2014 in our hospital for treatment and delivery of 150 cases of pregnant women with oligohydramnios, set as the observation group, another select the same period in our hospital 150 cases of normal amniotic fluid delivery The control group was observed, recorded and compared between the two groups of maternal delivery and perinatal outcome. Results: Compared with the control group, the observation group had more postpartum hemorrhage, longer labor duration, pregnancy-induced hypertension syndrome, cesarean section delivery and amniotic fluid contamination than the control group (P <0.05) The incidence of asphyxia, asphyxia and asphyxia in the observation group were higher than those in the control group, and the Apgar score was lower than that in the control group (P <0.05). Conclusion: Maternal oligohydramnios with pregnancy compared with normal maternal, prone to various complications or adverse outcomes, poor pregnancy outcomes, clinical need to strengthen prenatal care and prenatal care, select the appropriate mode of delivery for high-risk maternal, To protect the safety of mothers and children.