摘要
目的探讨重度子痫前期终止妊娠时机和方式对母儿的影响。方法对83例重度子痫前期进行回顾性分析,观察新生儿的窒息率与病死率。结果重度子痫前期83例,母亲全部存活。65例施行剖宫产,剖宫产率78.31%,孕34周后新生儿窒息率8.82%;18例经阴道分娩,孕34周后新生儿窒息率35.71%;新生儿病死率2.35%;围产病死率3.49%。结论重度子痫前期孕34周以后采用剖宫产术分娩方式,可降低母儿病死率,相对经阴道分娩对母儿更安全。
Objective To study the influence of the time and method of pregnancy termination on mothers and newborns in severe preeclampsia. Methods Eighty-three pregnant women suffered from severe preeclampsia were enrolled for retrospective analysis. The rates of neonatal asphyxia and perinatal mortality were observed. Results Of 83 cases,there was no maternal death . 65 cases were delivered by cesarean,and the neonatal asphyxia rate was 8. 82% after 34 weeks of gestation; 18 cases were delivered by vaginal delivery,and the neonatal asphyxia rate was 35. 71% after 34 weeks of gestation. Two newborn infants were dead in vaginal delivery before 32 weeks of gestation. The cesarean rate of was 78. 31%. The perinatal mortality rate was 3. 49%. Conclusion In women with severe preeclampsia after 34 weeks of gestation, cesarean delivery can reduce the perinatal morbidity and mortality as compared with vaginal delivery,and cesarean delivery is not harmful to the mothers and newborns.
出处
《西部医学》
2007年第6期1126-1128,共3页
Medical Journal of West China
关键词
妊娠
高血压
子痫前期
剖宫产
Pregnancy
Hypertension
Preeclampsia
Cesarean
