摘要
目的探讨高龄初产妇与高龄经产妇对妊娠、分娩及胎儿结局的影响。方法对我院2004年1月～2008年12月5年间住院分娩的高龄产妇730例进行回顾性分析。结果13461例产妇中高龄初产妇81例,发生率0.60%,高龄经产妇649例,发生率4.82%。在胎儿窘迫、妊娠合并子宫肌瘤和早产方面差异有统计学意义(P<0.05或P<0.01),在妊娠期高血压疾病、妊娠期糖尿病、胎膜早破、产后出血和新生儿窒息方面无明显差异(P>0.05);高龄初产妇剖宫产率明显高于高龄经产妇,差异有非常显著性意义(P<0.01)。结论高龄产妇特别是流动人口中的高龄经产妇要加强围产期保健,定期进行产前检查,对高龄初产妇适当放宽剖宫产指征,对高龄经产妇应鼓励自然分娩,积极预防处理并发症,能完全顺利通过妊娠分娩。
Objective To study the influence of eldly primiparae and pluriparas on pregnancy,deliery and prognosis. Methods The clinical data of elderly lying-in women in our hospital from Feb 2004 to Dec 2008 were retrospectively analyzed. Results 81 elder lying-in women were found in 13461 pregnant women with incidence of 0.60%,and there were 649 elder muhiparous lying-in women with incidence of 4.82%. Significant difference was found between elder primiparous and muhiparous lying-in women on fetal distress, gesmtional myoma of uterus and premature delivery （P〈0.05 或 P〈0.01 ）,no significant difference on gestational hypertension,gestational diabetes, premature rupture of membrane, postpartum hemorrhage and fetal asphyxia （P〉0.05）;Cesarean section rate of eldly primiparae was much higher than that of eldly pluriparas（P〈0.01）. Conclusion We should enhance perinatal health care, give prenatal examination regularly for elderly woman especially for elder multiparous women among fluid population, appropiately relox indications of cesarean section for elderly primiparas, encourage eldly pluriparas＇ normal lablr, deal with complications to make elldly puerpera to delivery safely.
出处
《中国现代医生》
2010年第2期140-141,共2页
China Modern Doctor
关键词
高龄初产
高龄经产
高危因素
Elderly primiparous woman
Elderly multiparous woman
High risk factor
