过期妊娠合并羊水过少的妊娠结局分析

Analysis of prolonged pregnancy combined with oligohydramnios on pregnancy outcome

目的分析过期妊娠合并羊水过少对妊娠结局的影响。方法选择我院2008年1月~2012年12月住院治疗及分娩的过期妊娠孕妇313例,其中过期妊娠合并羊水过少45例,过期妊娠羊水量正常268例,对两组的妊娠结局进行比较分析。结果过期妊娠合并羊水过少的胎儿心电监护评分异常率、剖宫产率、羊水Ⅱ°~Ⅲ°粪染率、新生儿窒息率、围生儿死亡率均明显高于过期妊娠羊水量正常组。结论过期妊娠合并羊水过少严重影响妊娠结局,需积极处理,尽早终止妊娠,降低围生儿死亡率。

Objective To analyze the impact of prolonged pregnancy combined with oligohydramnios on pregnancy outcome. Methods 313 prolonged pregnancy women admitted to our hospital from January 2008 to December 2012 were selected as the study object, 45 cases combined with oligohydramnios, and 268 cases had normal amniotic fluid volume, the pregnancy outcome were compared between the two groups. Results The abnormal rate of electrocardio- graph monitoring score, cesarean section rate, amniotic fluid turbidity rate of I1 ^-11I ~, neonatal asphyxia rate and perinatal mortality of prolonged pregnancy women combined with oligohydramnios were significantly higher than the prolonged pregnancy women with normal amniotic fluid volume. Conclusion Prolonged pregnancy combined with oligohydramnios seriously influence the pregnancy outcome, they need active treatment, termination of pregnancy as soon as possible, in order to reduce the perinatal mortality.