过期妊娠对母婴的影响

The Effect of Prolonged Pregnancy on Pregnant and Newborn

目的探讨过期妊娠对母婴的影响及41孕周及时终止妊娠的临床意义。方法回顾性分析90例过期妊娠(过期妊娠组)和1 538例足月妊娠(对照组)的孕妇及新生儿临床资料。结果剖宫产率、阴道产率及产后出血、羊水过少发生率过期妊娠组分别为61.11%、7.78%、12.22%、21.11%,对照组分别为29.98%、3.14%、2.15%、3.14%,2组比较差异均有统计学意义(均P<0.01)。胎儿窘迫、新生儿窒息、巨大儿、低体重儿、死胎、死产发生率及新生儿死亡率过期妊娠组分别为21.11%、14.44%、7.78%、1.11%、1.11%、0、1.11%,对照组分别为4.93%、6.5%、2.34%、0.33%、0.26%、0、0.07%,2组比较差异均有统计学意义(均P<0.01)。结论对孕周达到或超过41周的孕妇必需收住院,加强产前监护,适时终止妊娠。

Objective To explore the effect of prolonged pregnancy on the pregnant and newborn,and infant and the clinical significance of timely termination of pregnancy after 41 weeks of gestation.Methods the clinical data of 90 cases of prolonged pregnancy（prolonged pregnancy group） and 1 538 cases of full-erm pregnancy（control group） of the pregnant and newborn were retrospectively analyzed.Results The prolonged pregnancy group cesarean section rate was 61.11%,rate of vaginal births was 7.78%,incidence rate of postpartum hemorrhage 12.22%,the incidence rate of oligohydramnios 21.11%,while in the control group above rates were 29.98%,3.14%,2.15%,and 3.14%,respectively.The differences were statistically significant of compared in two groups（all P〈0.01）.The incidence rate of fetal distress in the prolonged pregnancy group was 21.11%,neonatal asphyxia incidence rate was 14.44%,a huge children incidence rate of 7.78%,low-eight children the incidence rate of 1.11%,stillbirth rate was 1.11%,stillbirth rate was 0,neonatal mortality rate was 1.11%;but in the control group the rates were 4.93%,6.5%,2.34%,0.33%,0.26%,0,0.07%.The differences were statistically significant of compared in two groups（all P〈0.01）.Conclusion The women whos pregnant time reaches at or outstrip than 41 weeks should be hospitalized with enhancement prenatal monitor and timely termination of pregnancy.