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延期妊娠引产时机对母婴结局的影响
作者:谷三群 
单位:泸州市江阳区妇幼保健院
关键词:[关键词] 延期妊娠 引产 引产时机 妊娠结局 
分类号:
出版年·卷·期(页码):2013·41·第六期(404-406)
摘要:
目的探讨延期妊娠引产时机对母婴结局的影响。方法回顾性分析我院2008年6月~2012年6月住院分娩孕41-41+6周无任何合并症及并发症孕妇172例为实验组,并根据引产时间将实验组分为实验1组90例(孕41周),实验2组80例(41+4周),取同期妊娠自然临产孕妇92例为观察组,分别对实验1组和实验2组孕妇的引产成功率、分娩方式、产后并发症、新生儿窒息发生情况进行回顾性分析,并将实验组与观察组孕妇的分娩方式、产后并发症、新生儿窒息发生情况进行回顾性分析,结果引产1组引产成功率明显低于引产2组,剖宫产率及羊水Ⅲ度粪染率明显高于引产2组,差异均有统计学意义(P <0.05)。实验组的剖宫产率、胎儿羊水Ⅲ度粪染发生率明显高于观察组,差异有统计学意义(P <0.05);实验组与观察组、实验1组与实验2组的产后出血量、产褥病率、急产、产时损伤、胎儿窘迫及新生儿窒息发生率比较,差异均无统计学意义(P >0.05),结论对于无妊娠合并症及并发症的延期妊娠不需过早积极地引产,在对胎儿进行密切监护下可以等待自然临产,如41+4周仍未临产,可行促宫颈成熟及引产。

[Abstract] Objective to investigate the effect of delay time of induced abortion of pregnancy on maternal and neonatal outcomes. Methods: a retrospective analysis of our June 2008 -June 2012 year 41-41+6 weeks without any complications of childbirth pregnancy and complications of 172 cases of pregnant women for the experimental group, and based on the induction of experimental group time be divided into experimental 1 set of 90 cases (41 weeks gestation), experiment 2 sets of 80 cases (41+4 week); taking over the natural parturient 92 cases of pregnancy for the Observer Group。 Respectively on experiment 1 and experiment 2 sets of pregnant women success rate of induced abortion, childbirth, postnatal, newborn asphyxia; a retrospective analysis of complications and experimental group and observer groups of delivery in pregnant women, postpartum complications, newborn asphyxia; Results induction of induction of labor induction success rate significantly 1 group lower than 2 group, cesarean section rates and ⅲ of meconium-stained amniotic fluid labour induction rate is significantly higher than the 2 groups, differences are statistically significant (P <0.05). Experimental group's Caesarean rate, significantly higher incidence of fetal amniotic fluid meconium ⅲ observer group differences are statistically significant (P <0.05); the experimental group and observer groups, experiment 1 and experiment 2 groups of postpartum haemorrhage, puerperal disease rates were, precipitate labor, birth injury, comparison of the incidence of fetal distress and neonatal asphyxia, differences were not statistically significant (P >0.05), Conclusions for delayed pregnancy with no complications in pregnancy complications and do not need to actively induced prematurely, for close fetal monitoring can be waiting for a natural birth, if you do not 41+4 weeks perinatal, possible cervical ripening and labor induction. [Keywords] delayed pregnancy; abortion; time of induced abortion; t

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