妊娠晚期胎死宫内32例临床分析

目的:探讨妊娠晚期胎死宫内的原因与预防措施。方法:选择2011年32例妊娠晚期胎死宫内孕产妇临床资料进行回顾性分析。结果:32例胎死宫内主要原因有胎盘早剥、胎儿生长受限、妊娠期糖尿病、胎儿畸形、脐带缠绕、单脐动脉、脐带血管断裂、双胎输血综合征等。结论:胎盘早剥、胎儿生长受限、妊娠期糖尿病、胎儿畸形、脐带缠绕、单脐动脉、脐带血管断裂、双胎输血综合征等是妊娠晚期胎死宫内的原因,加强高危孕产妇管理,强调自数胎动的重要性,积极治疗妊娠合并症和并发症,可以降低妊娠晚期死胎率。

Objective： To analysis the causes and preventions for dead fetus in uterus at late trimester of pregnancy. Methods：32 pa- tients with dead fetus in uterus at late tri- mester of pregnancy were analyzed retro- spectively. They delivered in Maternal and Child Health Care Hospital of Sbenzhen, in 2011. Results ： The main reasons for dead fe- tus in uterus at late trimester of pregnancy were placental abrnption, FGR, GDM, fetal anomaly, cord entanglement, single umbilical artery, cord blood vessel broken, Twin - to - twin blood transfer et al. Conclusion： The main reasons for dead fetus in uterus at late trimester of pregnancy were placental abrup- tion, FGR, GDM, fetal anomaly, cord entan- glement, single umbilical artery, cord blood vessel broken, Twin - to - twin blood trans- fer. To strengthen management for high - risk pregnant women,fetal movement count- ing, deal with pregnancy complications ac- tively should cut down still birth rate at late trimester of pregnancy.