论文部分内容阅读
目的探讨自然受孕、辅助生殖技术及服用促排卵药3种方式受孕双胎妊娠的不同妊娠结局。方法选取2013年7月至2014年6月期间在济宁医学院附属医院分娩孕妇324例,其中辅助生育技术受孕双胎孕妇(辅助生殖组)106例,自然受孕双胎孕妇(自然受孕组)81例,服用促排卵药物受孕(促排卵药组)137例。对3组双胎妊娠孕妇的围生期结局进行回顾性分析。结果辅助生殖组产妇妊娠期糖尿病、胎膜早破、难免早产发生率明显高于其他两组(P<0.05);妊娠期高血压疾病、前置胎盘、胎盘早剥、S/D异常、羊水异常、一胎胎死宫内、剖宫产、胎儿畸形、低体重儿出生率、新生儿窒息发生率3组比较,差异无统计学意义(P>0.05)。结论与自然双胎妊娠相比,应用辅助生殖技术受孕双胎孕妇妊娠期糖尿病、胎膜早破、难免早产等妊娠期并发症明显增多,剖宫产率和新生儿结局无明显影响。
Objective To explore the natural pregnancy, assisted reproductive technology and taking ovulation drugs in three ways pregnant pregnancy outcome of different pregnancies. Methods A total of 324 pregnant women were delivered at Jining Medical College Hospital from July 2013 to June 2014. Among them, assisted reproductive technology included 106 pregnant women (assisted reproductive group), 106 pregnant women with natural conception (natural conception group) Cases, taking ovulation drug pregnancy (ovulation medicine group) 137 cases. The perinatal outcome of 3 groups of twin pregnant women were retrospectively analyzed. Results The incidence of gestational diabetes mellitus, premature rupture of membranes and unavoidable preterm birth in assisted reproductive group were significantly higher than those in other two groups (P <0.05). Hypertensive disorders in pregnancy, placenta previa, placental abruption, abnormal S / D, amniotic fluid There were no significant differences among the three groups (P> 0.05). There was no significant difference between the three groups in the incidence of abnormal fetus, one fetus with fetal death, cesarean section, fetal malformation, low birth weight and neonatal asphyxia. Conclusion Compared with natural twin pregnancies, gestational diabetes mellitus with gestational diabetes, premature rupture of membranes, and inevitable premature labor are significantly more complicated during pregnancy with assisted reproductive technology. Cesarean section rate and neonatal outcome are not significantly affected.