高龄孕妇236例妊娠与分娩保健指导及监护

Guidance on pregnancy and childbirth and care for 236 older pregnant women

目的:探讨对高龄孕妇妊娠与分娩加强保健指导及监护的重要性。方法:将472例孕妇按是否为高龄孕妇分为高龄组和非高龄组各236例,观察两组妊娠期和分娩期并发症发生率、胎儿异常发生率、剖宫产率。结果:两组妊娠期和分娩期并发症发生率、胎儿异常(巨大儿、胎儿生长受限)发生率、剖宫产率比较差异均有统计学意义(P<0.01)。结论:高龄孕妇妊娠和分娩期间并发症发生率高,应加强监护,及早发现潜在不利因素,及时处理,以保证母婴健康。

Objective ： To study the importance of guidance on pregnancy and childbirth and care for older pregnant women. Methods ： 472 pregnant women were divided into older and non - older pregnant women groups according to the ages （ 236 cases for each group）. The incidence of complications, fetal abnormalities and the cesarean section rate during pregnancy and childbirth were observed in both groups. Results： There were statistically significant differences in the comparison of incidence of complications and fetal abnormalities （macrosomia, fetal growth restriction） and cesarean section rate （P 〈 0. 01）. Conclusion： The incidence of complications is higher in older pregnant women during pregnancy and childbirth, the monitoring should be strengthened and potentially adverse factors can be detected and timely treated so as to ensure maternal and child health.