孕足月羊水过少对分娩方式和母儿围生结局的影响

The influence of term oligohydramnios on the delivery mode and maternal-infant outcome

目的探讨孕足月羊水过少对分娩方式和母婴围生结局的影响。方法选取2012年1月。2014年1月安阳市妇幼保健院产科收治孕足月羊水过少患者120例作为观察组，选取同时期孕足月入院终止妊娠患者100例作为对照组。比较两组患者分娩方式和母婴围生结局的差异。结果观察组引产、手术助产、剖宫产发生率显著高于对照组，差异有统计学意义（P〈0．05）；观察组孕产妇宫缩乏力、产道裂伤和产后出血发生率均高于对照组，差异有统计学意义（P〈0．05）。观察组羊水粪染、胎儿宫内窘迫、新生儿窒息、低出生体重儿发生率均高于对照组，差异有统计学意义（P〈0．05）。结论孕足月羊水过少可对母儿围生结局造成不良影响，应积极终止妊娠，放宽剖宫产指征，避免不良围生结局。

Objective To investigate the influence of term oligohydramnios on the delivery mode and maternal-infant outcome. Methods 120 cases of term oligohydramnios were designated as study group,while 100 eases with normal volume of amniotie fluid as control group.The differences of delivery mode and maternal-infant outcomes were analyzed and compared between two groups. Results Compared with control group,the occurrence rates of induction,surgical midwifery,caesarean section,uterine atony,birth canal laceration and postpartum hemorrhage were increased significantly in study group （P〈0.05）.The incidence rates of meconium staining,fetal distress,neonatal asphyxia and low birth weight infant in study group were increased significantly than those in control group （P〈0.05）. Conclusion Term oligohydramnios may have adverse effects on maternal-infant outcome.Pregnancy termination,such as elective caesarean section would be taken positively and priorly to avoid undesirable maternal-infant outcome.