妊娠晚期羊水过少对妊娠结局及分娩方式的影响

Influence of oligohydramnios on pregnancy outcomes and delivery mode

目的探讨妊娠晚期羊水过少对妊娠结局及分娩方式的影响。方法回顾性分析在本院住院分娩的96例妊娠晚期羊水过少孕妇,选取同期足月妊娠孕妇90例作为对照组,比较两组妊娠合并症、分娩方式及围生儿结局情况。结果羊水过少组妊娠高血压综合征、过期妊娠、羊水胎粪Ⅱ～Ⅲ度污染发生率及产后出血量均显著高于对照组(P<0.05),且剖宫产率显著高于对照组(P<0.05)。羊水过少组围生儿异常发生率为41.7%,对照组为8.9%,差异有统计学意义(P<0.05)。羊水过少组胎儿窘迫、新生儿窒息、吸入性肺炎发生率均显著高于对照组(P<0.05)。结论羊水过少严重威胁母婴安全,加强围生期保健,定期产前检查,适时选择正确的分娩方式,有助于改善围生儿预后。

Objective To explore influfence of oligohydramnios on pregnancy outcomes and delivery mode. Methods Ninety six pregnant women with oligohydramnios were studied retrospectively, 90 cases of normal pregnant women in the same period were act as control group. Pregnancy complications, delivery mode and perinatal outcome were compared. Results Incidence of pregnancy induced hypertension syndrome, prolonged pregnancy, II-III contamination of amniotic fluid and meconium, postpartum hemorrhage in oligohydramnios group were significantly higher than those in control group （P 0.05）. Cesarean section rate of oligohydramnios group was significantly higher than that of control group （P 0.05）. Incidence of abnormal perinatal child was 41.7% in oligohydramnios group, while 8.9% in control group, with significant difference （P 0.05）. Incidences of fetal distress, neonatal asphyxia, aspiration pneumonia were significantly higher than those in control group （P 0.05）. Conclusion Oligohydramnios has a serious threat to maternal and child safety. Enhancing perinatal care and regular prenatal care, choosing the correct mode of delivery in a timely manner will help improve perinatal outcomes.