重度妊娠高血压综合征分娩方式对母婴的影响

EFFECTS OFDELIVERYMODE ON MOTHERSAND INFANTS OFSEVERE PREGNANCY-INDUCED HYPERTENSION SYNDROME GRAVIDAS

目的:探讨重度妊娠高血压综合征(PIH)分娩方式对母婴的影响。方法:回顾分析98例重度PIH孕产妇住院分娩的病例资料,总结重度PIH患者剖宫产和阴道分娩对孕妇和新生儿的影响。结果:重度PIH患者阴道分娩和剖宫产产妇并发症发生率比较差异无统计学意义(P>0.05);剖宫产新生儿生后1min Apgar评分≥8分的例数明显多于阴道分娩,剖宫产新生儿窒息率明显低于阴道分娩(P<0.01)。结论:重度PIH病情严重,对母婴危害极大,把握终止妊娠的时机是母婴平安的关键。

Objective： To investigate the effects of delivery mode on mothers and infants of severe pregnancy-induced hypertension syndrome （PIH） gravidas.Methods：The medical data of 98 PIH gravidas were retrospectively analyzed and summarized the effects of uterine-incision delivery and vaginal delivery on gravidas and neonates. Results：For severe PIH gravidas, uterine-incision delivery and vaginal delivery had no effects on complications ofgravidas after childbirth （P〉 0.05）. The Apgar score lmin after birth of uterine-incision delivery neonates was obviously higher than that of vaginal delivery neonates （P〈 0.01）; the suffocation rate of uterine-incision delivery neonates was obviously lower than that of vaginal delivery neonates （P〈 0.01）. Conclusions： Severe PIH is serious and has great harm to mothers and infants. Grasping the termination time of pregnancy is the key to guarantee safety of mothers and infants.