羊水过少对母婴的影响及相关因素分析

The Analysis of impact of oligohydramnios on mother and baby and correlative factors

目的：分析羊水过少对母婴的影响，探讨正确的处理方法，降低围生儿病死率。方法：回顾性分析2005年1月-2009年12月在我院分娩的羊水过少孕妇177例（观察组）及随机抽取同期羊水量正常孕妇177例（对照组）的临床资料，分析两组孕妇妊娠结局及母婴并发症。结果：羊水过少组胎儿窘迫、羊水污染及剖宫产率明显高于对照组，B超测量羊水量可及时发现羊水过少。结论：羊水过少严重威胁胎儿、新生儿的生命，应加强产前检查及早发现羊水过少，应严密监护，积极处理，适当放宽手术指征。

Objective To analyse the influence of hypamnion for both mother and baby , and discuss a correct management to reduce the perinatal mortality. Methods study the 177 pregnant women of hypamnion retrospectively from January 2005 to December 2009 （observative group）, of whose child born in our hospital, and draw clinical datas randomly of 177 homeochronous pregnant women（comparitive group） with normal amniotic fluid volume（AFV）. And analyze the pregnancy outcomes and complications of mother and baby between two groups. Results the incidence rate of fetal dis- tress, amnioric fluid （AF） pollution and caesarean section（CS） of observative group is obviously higher than comparitive group. Hypamnion would be found promptly during AFV measure by using type--B ultrasonic. Conclusion Hypamnion seriously threaten the lives of foetus and neonatorum. Prenatal diagnosis is strongly needed in order to find hypamnion promptly. Hypamnion should be monitored accurately,dealed positively,and the indicatio of operation also should be widen properly.