延期妊娠并发羊水过少妊娠结局临床分析

Clinical analysis of pregnancy outcomes on delayed pregnancy complicating the oligohydramnios

目的探讨延期妊娠并发羊水过少对母婴的影响。方法采用回顾性分析方法,对延期妊娠分娩的产妇羊水过少组98例及羊水正常组343例进行对比分析。结果羊水过少组中羊水Ⅱ度以上粪染、胎盘成熟度Ⅲ+级及胎盘钙化、胎儿窘迫、新生儿窒息率、引产率、产后出血率及剖宫产率均显著高于羊水正常组,差异有统计学意义(P<0.05)。结论羊水过少是胎儿宫内慢性缺氧敏感的特异性指标,不论是延期妊娠还是过期妊娠,一经确诊应积极处理,估计短时间内不能分娩者,宜剖宫产结束妊娠。

Objective To study the effects of delayed pregnancy complicating the oligohydramnios on the pregnancy outcomes. Methods The data from 98 cases with delayed pregnancy complicating the oligohydramnios in observation Group and 343 cases in delayed pregnancy without the oligohydramnios in control Group were analyzed and compared. Results The rate of amniotic fluid turbidity Ⅱ - Ⅲ degree, placental maturity Ⅲ degree, fetal distress, asphyxia neonatorum,labor induced, postpartum hemorrhage and cesarean section in observation Group were significantly higher than those in control Group（P 〈 O. 05）. Conclusion The oligohydramnios that may result in the fetal distress, asphyxia neonatorum is a most specific and sensitive marker to diagnostic chronic fetal anoxia in uterus. Once the delayed or prolonged pregnancy is accurately diagnosed and it can＇ t be taken delivery, the cesarean section would be the first choice to determinate the pregnancy.