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目的探讨降低胎盘早期剥离(胎盘早剥)发生率的可能途径。方法把2002-01-2010-12来昆山市妇幼保健所围产保健门诊建册并有明确妊娠结局的89例胎盘早剥的孕产妇作为观察组,把每一个紧跟其后分娩的89例无胎盘早剥的孕产妇作为对照组,比较两组孕产妇及其围产儿发生的异常情况。结果孕妇有妊娠高血压疾病、胎膜早破者与胎盘早剥的发生相关;胎盘早剥的产妇易发生产后出血,其剖宫产率明显增加。胎盘早剥的围产儿易发生早产、新生儿窒息、围产儿死亡。结论如能有效地减少妊娠高血压疾病、胎膜早破的发生,可降低胎盘早剥的发生率。
Objective To explore possible ways to reduce the incidence of placental abruption (placental abruption). METHODS: A total of 89 pregnant women with placental abruption who had a definite pregnancy outcome from 2002 to 2010 were enrolled in the Perinatal Health Care Clinics of Maternal and Child Health Care Hospital of Kunshan City. Each of the 89 pregnant women with immediate follow-up Placental abruption of pregnant women as a control group, comparing the two groups of pregnant women and their perinatal occurrence of abnormalities. Results Pregnant women with pregnancy-induced hypertension, premature rupture of membranes associated with the occurrence of placental abruption; maternal placental abortion prone postpartum hemorrhage, the cesarean section rate increased significantly. Perinatal placental abruption prone to premature birth, neonatal asphyxia, perinatal death. Conclusion If can effectively reduce pregnancy-induced hypertension, premature rupture of membranes, can reduce the incidence of placental abruption.