高龄产妇妊娠晚期并发症及剖宫产指征分析

An analysis of complications of late pregnancy and indications of cesarean section of elderly parturient women

目的分析35岁以上的高龄初、经产妇妊娠晚期并发症及剖宫产指征。方法回顾性分析2006年1月至2009年3月在解放军306医院分娩的560例高龄初、经产妇妊娠期并发症及剖宫产指征，并选择同期分娩的200例24～29岁常龄初产妇作为对照组。结果高龄初产组、高龄经产组总的妊娠并发症发病率比较无显著性差异（Χ^2=2．987，P〉0．05），开高龄初产组妊娠并发症与对照组之间总的发病率比较有显著性差异（Χ^2=20．052，P〈0．01）；高龄初产组的指征性剖宫产明显高于对照组（Χ^2=9．647，P〈0．05）。结论高龄孕妇与对照组相比并发症明显增加，剖宫产指征发生率升高，应当积极加强孕产妇保健，较少或减轻高龄产妇并发症，以获得良好的分娩结局。

Objective To analyze complications in late pregnancy and indications of cesarean section of elderly primipara and multipara （ aged 35 years or above at the time of delivery）. Methods The complications of pregnacy and indications of cesarean section of 560 elder primiparae and multiparae who delivered in The 306th Hospital of PLA, Beijing over a period from January 2006 to March 2009 were retrospectively analyzed. 200 normal primiparae aged 24 ~ 29 years who delivered at the same period were as controls. Results In incidence of pregnancy-associated complications, there was no significant difference between the elderly multiparae group and elderly muhiparae group （Χ^2= 2.987, P 〉 0.05 ）. But between the elderly primiparae group and the control group, there was a significant difference in incidence of complications（Χ^2 = 20. 052, P 〈 0.01 ）. The incidence rates of indications of cesarean section in the elderly primiparae group was also significantly higher than the control group （Χ^2= 9. 647, P 〈 0.05 ）. Conclusion The elderly pregnant women have significantly higher incidence rates of pregnancy-associated complications and indications of cesarean section. So, the maternal health care during pregnancy should be strengthened in order to reduce incidence rate or relieve severity of pregnancy-associated complications of those elderly parturient women to achieve a better pregnancy outcome.