高龄经产妇妊娠现状及围生期结局分析

Pregnancy status and perinatal outcomes of aged pluripara

目的:探讨高龄经产妇分娩对妊娠结局的影响。方法:采用回顾性对照研究,对6432例单胎经产妇的临床资料进行分析,比较高龄组(≥35岁,n=310)和非高龄组(<35岁,n=6122)分娩方式、妊娠合并症、并发症以及新生儿结局的差异。结果:高龄组经产妇的剖宫产率明显高于非高龄组(P<0.05);高龄组妊娠期高血压、前置胎盘、早产、产后出血、胎膜早破、贫血均高于非高龄组(P<0.05);高龄组新生儿体重降低(P<0.05)。结论:高龄经产妇妊娠期合并症、并发症增多,剖宫产率增加,高龄妊娠应加强围生期保健。

Objectives： To investigate the impact of delivery on pregnancy outcome in women aged 35 or older. Methods： 6432 cases of maternal and newborn records of singleton gestation were analyzed by retrospective control review. Women aged 35 and older（ study group n = 310） were compared with women aged younger than 35（ control group n =6122） with respect to delivery modes,pregnancy complications and neonatal outcomes. Results： Primipara and multipara in study group had higher rates of cesarean section than those in the control group（ P〈0. 05）. The rates of pregnancy- induced hypertension,placenta previa,preterm labor,postpartum hemorrhage, premature rupture of membranes and anemia in study group were higher than those in the control group（ P〈0. 05）. The neonatal birth weight in study group was lower than that in control group. Conclusions： Pregnant women aged 35 or older are at an increased risk of pregnancy complications and cesarean section. The perinatal health care of aged pregnant women should be reinforced.