40例精神疾病合并妊娠患者孕育现状的调查分析

The Breed Status of 40 Schizophrenics with Pregnant

目的探讨精神疾病合并妊娠患者的孕育现状。方法回顾性分析2009年10月—2011年3月我院收治的40例精神疾病合并妊娠患者的临床资料。结果用药期间妊娠12例(30%),其中主动终止妊娠8例(20%),因精神疾病复发采取治疗性流产4例(10%);自行停药妊娠7例(17.5%),其中病情尚稳定,足月顺产1例(2.5%),2例由于病情反复间断用药,至预产期行剖腹产(5%),4例病情严重,行治疗性流产3例(7.5%),引产1例(2.5%);在精神科医生指导下妊娠者21例(52.5%),足月顺产7例(17.5%),剖腹产13例(32.5%),孕2月胎停育行治疗性流产1例(2.5%)。结论对精神疾病患者及家属进行孕前用药指导,有助于患者病情稳定,安全妊娠。

Objective To explore the breed status of schizophrenics with pregnant.Methods A total of 40 schizophrenics with pregnant hospitalized from October 2009 to march 2011 were analyzed with retrospective analysis.Results There were 12 cases of medication（30%）,there were 8 case of stopping pregnant,and 4 cases to take therapeutic aborted because of the recurrence of disease;there were 7 cases to stop taking the drugs（17.5%）,1 case was a stable disease and full-term birth,2 cases did a cesarean section due to illness relapses intermittent use（5%）,4 cases were in serious condition,3 cases did therapeutic abortion（7.5%）,1 cases induced labor（2.5%）;Under the guidance of doctors,21 cases were pregnancies（52.5%）,7 cases gave birth to a child in the fullness of time（17.5%）,13 cases were caesarean births（32.5%）,and 1 cases was therapeutic abortion after 2-month pregnant（2.5%）.Conclusion The guidance about medication before childbirth for schizophrenics and their relatives can help patients in stable condition and safe pregnancy.