妊娠41周的监护及处理(附189例临床分析)

The Monitoring and Treatmeut of pregnancy after Forty One weeks (wity analysis of 189 clinic cases)

本文对我院自1986年1月至1987年1月的189例妊娠达41周产前监护及处理进行分析。认为对预产期计算准确、并经B超、尿雌三醇测定、胎心率电子监护等检查确认妊娠达41周者采取适时终止妊娠。如在破膜引产过程中发现羊水过少或羊水有胎粪污染,即行胎心率电子监护以考虑及时结束分娩,以减少围产儿发病率及死亡率。

The article has an analysis of prenatal monitoring and treating of pregnancy with forty one weeds (during Jan 1986-Jan 1987) in 189 cases. We consider that if the predictive date of labor is calculated precisely and the pregnancy with forty one weeks was offirmed with B-mode ultrasound and the measuzement of urinary estriol and fetal heart electronic monitoring, pregnancy must be terminated with cesorean section if the following conditions are seen. If during induction of labor by artificial rupture of membranes, oligohydramnia or meconium-staining ambiotic fluid, or fetal distress shows up with fetal heart monitoring then the pregnancy should be terminated. It will reduce the fetal morbility and death rate.