过期妊娠并羊水过少分娩结局的临床分析

A clinical analysis of the overdue pregnancy coexisting oilgohydramionos on parturient sequence

目的探讨过期妊娠并羊水过少分娩结局的临床特点及干预措施。方法分析80例过期妊娠并羊水过少和160例过期妊娠羊水正常产妇的临床资料,比较两组分娩结局。结果过期妊娠羊水过少组剖宫产、阴道助产、产后出血、羊水Ⅲ度混浊;围产儿宫内窘迫、吸入性肺炎、窒息、死亡明显高于羊水正常组,而Apgar评分低,两组比较差异有统计学意义(P<0.O5)。结论过期妊娠对并羊水过少母儿的影响严重,属高危妊娠,加强对其认识,定期检查,适时结束分娩,可改善预后,最好在延期妊娠时,即给予恰当处理来终止;同时可适当放宽剖宫产指征。

Objective To discuss the clinical features and interventions of the overdue pregnancy coexisting oilgohydramionos on parturient sequence. Methods Analyzing the clinical information of 80 lying-in women with overdue pregnancy coexisting oilgohydramionos and 180 with overdue pregnancy but normal amniotic fluid, Comparing the parturient sequence of the 2 groups. Results Overdue pregnancy coexisting oilgohydramio-nos groups with cesarean section, vatinal midwifery, postpartum hemorrhage, turbid amniotic fluid Ⅲ ; The perinatal fetus of the oligohy dramnion groups ＇ fetal distress, aspitation pneumonia, suffocation, death rate are higher than those of amniotic fluid nomal groups and Apgar marks are low,The two compared group with obvious differences（P〈0. 05 ）. Conclusion The overdue pregnancy coexisting oilgohydramionos have serious influence on mother and infant which belongs to high-risk parturition, enhance the awaremess,inspect periodically, end partu-rition timely,improve prognosis,it is better to end in a proper way during the overdue pregnancy, at the same time relax the indications of cesarean section appropriately.