晚期妊娠羊水过少与胎儿窘迫的相关性分析

Analysis on the correlation between oligohydramnios and fetal distress during the third trimester of pregnancy

目的:分析临床诊断的晚期妊娠羊水过少与胎儿窘迫的关系,指导临床治疗,降低围生儿死亡率。方法:对2005年4月～2008年9月普爱医院收治晚期妊娠羊水过少孕妇220例进行回顾性分析。结果:羊水过少合并胎儿窘迫发生率呈时间相关性,随着孕周的增加其羊水过少合并胎儿窘迫发生比率增高。结论:晚期妊娠羊水过少与胎儿窘迫有一定的相关性,都应加以重视,一旦确诊羊水过少,甚至合并胎儿窘迫若胎儿已足月,除有畸形外,可尽早剖宫产终止妊娠。

Objective： To analyze the relationship between oligohydramnios and fetal distress during the third trimester of pregnancy, direct clinical treatment, and reduce perinatal mortality. Methods ： A total of 220 pregnant women with oligohydramnios during the third trimester of pregnancy who were treated in the hospital from April 2005 to September 2008 were analyzed retrospectively. Results ： The inci- dence of oligohydramnios combined with fetal distress showed a time - dependent manner, which increased with gestational weeks. Conclusion： Oligohydramnios during the third trimester of pregnancy has a certain correlation with fetal distress, more attention should be paid to the cases, when oligohydramnios is diagnosed definitely, even combined with fetal distress, early cesarean section should be conducted to terminate pregnancy if the ictuses are full term except the fetuses with fetal anomalies.