妊娠晚期并发羊水过少对分娩的影响

Influence of oligohydramnios in late pregnancy on delivery

目的探讨妊娠晚期并发羊水过少的临床特点及预后。方法选取2010-12～2011-12在该院住院分娩的羊水过少孕产妇45例(羊水过少组)和同期住院分娩的羊水正常孕产妇45例(羊水正常组),分别对两组的分娩方式和对围生儿影响情况进行对比分析。结果羊水过少组急诊剖宫产率为73.33%(33/45),羊水正常组为20.00%(9/45),羊水过少组高于羊水正常组(P<0.01);羊水过少组羊水Ⅲ度污染及胎儿窘迫的发生率均高于羊水正常组(P均<0.01)。结论妊娠晚期并发羊水过少对母体和胎儿均造成一定的影响,一经确诊,应积极采取措施结束分娩。

Objective To explore the clinical characteristics and prognosis of oligohydramnios in late preg- nancy. Methods Between December 2010 and December 2011,90 pregnant women treated in our hospital were di- vided into normal amniotic fluid group（ n = 45 ） and oligohydramnios group（ n = 45 ） for comparison of delivery condi- tions between two groups. Results The cesarean section rate in the oligohydramnios group was 73.33% （33/45） , that in normal amniotic fluid group was 20. 00% （9/45）. There was significant difference in cesarean section rate be- tween two groups （P 〈 0. 01 ）. There were significant difference in the incidence of amniotic fluid l]I degrees pollution and fetal distress in the oligohydramnios group was higher than that in the normal amniotic fluid group （ P all 〈 0.05 ）. Conclusion Ohgohydramnios in late pregnancy has serious influence on pregnant women and fetus, once di- agnosed, the positive measures should be taken for ending delivery.