医疗性早产的妊娠结局及利弊分析

Pregnancy Outcome and Evaluation of Preterm Termination due to Medical Indications

目的:总结医疗性早产的妊娠结局,分析医疗性早产的利弊及与新生儿死亡有关的因素。方法:回顾性对近4年144例医疗性早产进行分析,并对160例新生儿进行对比性研究。结果:产母死亡1例,行子宫次全切除术1例。新生儿窒息20例(12.5％),死亡3例(1.9％),转新生儿ICU病房99例(61.9％)。结论:医疗性早产是处理高危妊娠、减少母儿发病率和病死率的有效措施。

To study the pregnancy outcome and evaluation of preterm termination due to medical indications. Methods: One hundred and forty-four cases of preterm termination due to medical indications from June 1995 to May 1999 were reviewed. Results: Except that one mother died from multiple organ failure and another underwent subtotal abdominal hysterectomy for postpartum bleeding, the others did well. Twenty newborns (12.5%) developed a respiratory distress and 3 newborns (1.9%) died. Ninety-nine newborns (61.9% ) were transferred to the neonatal intensive care unit. Conclusion: The preterm termination due to medical indications is an effective measure to manage high-risk pregnancies and may reduce incidences and mortalities of mothers and infants.