晚期羊水过少的处理

目的研究晚期羊水过少及其处理原则,并且对妊娠结局的影响。方法选择2005年5月～2010年5月在妇产科病房住院分娩的晚期羊水过少孕妇210例,排除妊娠并发症及合并症的孕妇,根据羊水指数(AFI)结果将孕妇分成两组:羊水量偏少组(50mm≤AFI≤80mm)110例,羊水量过少组(AFI<50mm)100例,采取母体水化疗法后,予以催产素引产。并对妊娠结局进行统计。结果两组经水化治疗后羊水量均增加,两组经阴道分娩率提高,剖宫产率降低。结论母体水化疗法对增加羊水量有效,并显著减少了胎儿窘迫、新生儿窒息、新生儿缺血缺氧性心肌病、脑病的发生,有效地降低了剖宫产率,提高了自然分娩率。

Objective To study and treatment of advanced principles of oligohydramnios and pregnancy outcome.Methods too little amniotic fluid of pregnant women 210 cases were chosen in the late hospital delivery from May 2005to May 2010 in hospital maternity ward,rule out the possibility of pregnancy complications and complications of pregnancy,according to amniotic fluid index（AFI）results will be divided into two groups of pregnant women：amniotic fluid volume of relatively few groups（50mm ≤ AFI ≤ 80mm）110 cases of amniotic fluid volume is too small group（AFI 50mm）100 cases of maternal hydration therapy to take,be oxytocin.And pregnancy outcome were statisticsed.Results After a hydration treatment of amniotic fluid each organ,two vaginal delivery rate improved,cesarean section rate reduced.Conclusion Maternal hydration is effective for increasing amniotic fluid volume and significantly reduce the incidence of fetal distress,neonatal asphyxia,hypoxic-ischemic cardiomyopathy,encephalopathy,reduce the cesarean section rate and increase the rate of natural childbirth effectively.