产前检查对孕产妇及围产儿保健作用分析

Analysis on effect of antenatal care on maternal and perinatal fetus

[目的 ] 了解孕期保健对妊娠结局及围产儿影响的相关因素。 [方法 ] 对 960例孕产妇进行回顾性分析。将无产前检查的 476例作为观察组 ,有产前检查的 484例作为正常对照组 ,对两组的妊娠结局进行对照分析。 [结果 ] 无产前检查的孕妇过期妊娠、前置胎盘、妊娠高血压综合征、产后出血发生率较有产前检查者高。无产前检查者新生儿窒息、低体重儿、死胎、早产儿、呼吸窘迫综合征 (RDS)、新生儿宫内感染、颅内出血 (HIE)发生率较有产前检查者高。无产前检查者胎盘早剥、早产、横位等发生率较有产前检查者高。 [结论 ] 应加强产前检查 ,及早发现高危妊娠 ,积极治疗产科并发症 。

Objective To investigate the effect of antenatal care on maternal and perinatal fetus. [Methods] Retrospective analysis of 960 pregnant women in deliveries. Contrast analysis were made between the two groups, one had prenatal examinations, the other without prenatal care. [Results] The incidence rate of postterm pregnancy, placenta previa, hypertensive disorders in pregnancy, and postpartum hemorrhage were higher among pregnant women that had none prenatal examination (P<0.05), Similarly asphyxia neonatorum, low birth weight, fetal death, premature infant, babies with respiratory distress syndrome, uterine infection, intracranial hemorrhage were also higher in those without antenatal care (P<0.05). But the difference of premature separation of placenta, premature birth, and cross birth was not significant statistically. [Conclusion] In order to have pregnant woman and infant in good health, prenatal examination should be strengthened to detect high-risk pregnancies as early as possible and take active part in treating obstetrical complications.