高龄初产妇妊娠与分娩状况研究

Investigation on Gestation and Delivery Condition of Elderly Primipara

目的探讨高龄初产妇发生的原因,妊娠合并症、并发症的发生率及其处理对策。方法对2000年1月-2005年1月武汉市4家三甲综合医院妇产科就诊115例高龄初产妇(高龄组)与同期115例年轻初产妇(对照组)的临床资料进行性病例对照分析。结果高龄组与对照组职业、流产史差异性显著(P值<0.001);高龄组妊娠期合并子宫肌瘤、并发妊高症、前置胎盘、产褥病、剖宫产率及分娩期并发症发生率均明显高于对照组(P值<0.05)。结论高龄初产妇与职业、流产史有关;高龄初产妇妊娠合并症和并发症发生率明显高于年轻初产妇。

Objective To explore the correlative factors, the incidence of pregnancy coexisted diseases, complications and the management strategies of elder primiparas. Method We carried out a cross-check analysis of the clinical data of 115 elder primiparas and compared them with the same number of younger counterparts from department of gynecology and obstetrics in four hospitals in Wuhan city. Results The historical differences of occupation, abortion between the elder primiparas group and control group were significant （P〈0. 001） . The incidence of pregnancy coexisted diseases such as hysteromyoma; Complications such as pregnancy-induced hypertension syndrome, placenta previa and puerperalism; the rate of uterine-incision delivery and complications during delivery of the elder primiparas were much higher than those of the control group （P 〈0. 05）. Conclusions The cause of elder primiparas were correlated with occupation, the previous history of abortion; The incidence of pregnancy coexisted diseases, complications were much higher in elder primiparas.