摘要
目的了解经产妇10年来基本特征状况及新生儿的状态变化。分析经产妇妊娠期并发症及剖腹产的主要因素的变化趋势。方法回顾性的总结1994年及2004年我科收治的经产妇共356例。对1994年及2004年两组孕妇的基本特征、新生儿的状态、妊娠期并发症及剖腹产的主要因素进行比较;结果经产妇生育年龄、人口分布有明显改变。本地城市居民经产妇发生率增加,经产妇的平均年龄有明显上升趋势。两组比较有显著性差异。两组经产妇妊娠并发症比较,巨大儿的发生率明显增高,差异有显著性。而产后出血、妊高征、早破水、前置胎盘、早产、新生儿窒息的发生率无明显差异。两组经产妇手术产相关因素比较:胎儿宫内窘迫、巨大儿及社会因素造成的经产妇剖腹产率有上升趋势,两组比较差异有显著性。而疤痕子宫、胎位异常等造成的剖腹产率无明显改变。结论经产妇人群的产科相关因素十年来变化明显,应该受到广泛的关注,应根据其变化特点,提高其保健水平,制定合理的分娩方式,适时终止妊娠,减少难产的发生,降低经产妇剖腹产率近在眉睫。
Objective：To find out the changes of basic characters of multipara and newborn＇ s conditions in the past ten yesars. Analyze the trend of the changes ofr the complications of multipara during gestation period and the principal factors of caesarean of mttltipara. Methods： Conclude the 356 examples of multiparas being treated at our hospital in the year of 1994 and 2004. Compare the basic characters of the two groups in the fields of newborn＇ s conditions, complication of gestation period and principal factor of caesarean. Restths： The proportion of multipara has been increased among the local citizens. The average age of multipara increased obviously. There are striking differences by comparing the two groups. The proportion of hugefetus raised and has got striking differeces. There are no difference in the field of postpartum hemorrhage, hypertensive disorder complicating pregnancy, placenta previa, premature delivery, phyxia. The comparison of mttltipara operational delivery： fetal distress,huge baby and social factors causing caesarean are increasing. Scarred uterus scar, position of fetus causing caesarean have no change. Conclusion： the condition of mtthipara have been changed during the last 10 years. We should pay close attention on it. we should improve the health care standard, formulate reasonable way of parturition, decrease diffcult delivery are extremely urgent.
出处
《中国优生与遗传杂志》
2005年第12期65-67,共3页
Chinese Journal of Birth Health & Heredity
