高龄妊娠对母儿的影响

Influence of older pregnancy on the pregnant women and infants

目的探讨高龄妊娠对母儿的影响,以提高对高龄妊娠母儿高风险率的认识。方法对高龄组(215例)和适龄组(688例)产妇的妊娠合并症及并发症、围生儿情况、剖宫产、难产助产及徒手剥离胎盘术的发生率进行对比分析。结果妊娠期高血压疾病、妊娠期糖尿病、胎膜早破和产后出血发生率高龄组均高于适龄组(P<0.01),巨大儿、早产儿、低体质量儿、新生儿窒息发生率高龄组均高于适龄组(P<0.01),剖宫产率、产钳和胎吸助产率及胎盘黏连徒手剥离术发生率,高龄组均高于适龄组(P<0.01)。结论高龄妊娠分娩母儿风险明显上升,阴道自然分娩率下降,剖宫产及难产助产率明显升高,应加强对高龄产妇的产前检查及产时监护,以提高风险意识,确保母儿安全。

Objective To investigate the effect of older pregnancy on the pregnant women and infants,to improve the recognition of the high risk of older pregnancy on pregnant and infant. Methods The pregnant complications, perinatal infants, uterine-incision delivery, uterine-incision delivery and incidence rate of manual separation of the placenta were analyzed in eld group （n = 215 ） and control group （n = 688）. Results Compared with control group, the incidence rates of gestational hypertension, gestational diabetes, premature rupture of membrane, postpartum hemorrhage, large for date infant, premature infant, low birth weight infant, low birth weight infant, uterine-incision delivery and placental adherence were higher in eld group （P 〈 0.01 ）. Conclusion The risk of pregnant women and infant increases obviously in older pregnancy ,the rate of spontaneous vaginal delivery decreases, and the rate of caesarean section and birth diffieuhy also increases. In order to improve pregnancy outcome, it is important to strengthen the intrapartum guardianship and prenatal examination of older pregnancy.