延期妊娠合并羊水偏少的临床分析

CLINICAL ANALYSIS OF DELAYED PREGNANCY COMBINED WITH BORDERLINE OLIGOHYDRAMNIOS

目的探讨延期妊娠合并羊水偏少的临床特点及分娩方式。方法 2013年1月—2014年12月煤炭总医院住院收治的延期妊娠合并羊水偏少患者60例为观察组,同期住院收治的456例延期妊娠羊水量正常者为对照组,比较二组患者的临床特点、分娩方式和母婴结局。结果延期妊娠合并羊水偏少易发生胎儿宫内窘迫、新生儿重度窒息,剖宫产率较高(P<0.05),但二组患者临产后阴道试产成功率差异无统计学意义(P>0.05),同时发现延期妊娠合并羊水偏少阴道分娩时潜伏期及活跃期时间相对较长(P<0.05)。结论延期妊娠合并羊水偏少易发生胎儿宫内窘迫,但并不是剖宫产指征。延期妊娠合并羊水偏少患者应常规行阴道试产并相对放宽试产时间。

Objective To study the clinical characteristics and the mode of delivery of delayed pregnancy combined with borderline oligohydramnios.Methods Sixty pregnant women who diagnosed as delayed pregnancy combined with borderline oligohydramnios were treated as observation group and 456 pregnant women who diagnosed as delayed pregnancy with normal amniotic fluid volume were treated as control group in author＇s hospital from January2013 to December 2014.The clinical characteristics and the mode of delivery and the pregnancy outcomes of the two groups were compared.Results Delayed pregnancy combined with borderline oligohydramnios occurred easily intrauterine fetal distress and severe neonatal asphyxia,so the rate of cesarean section of the observation group was higher（P 〈0.05）.But the success rate of vaginal delivery of the two groups had no obvious difference（P 〉0.05）.And the latent phase and the active phase of the observation group were longer in vaginal delivery（P 〈0.05）.Conclusions Delayed pregnancy combined with borderline oligohydramnios occurrs easily intrauterine fetal distress,but it is not the indication of cesarean section.The patients with delayed pregnancy combined with borderline oligohydramnios should be routine vaginal delivery and relatively relaxed schedule.