孕期保健在高龄孕产妇中的应用价值

Application value of antenatal care in pregnant women of advanced age

目的分析孕期保健(PC)服务在高龄产妇妊娠及分娩期间的临床应用价值。方法分析98例高龄孕产妇的临床资料,根据有无接受PC服务将其分成观察组50例(接受产前保健及检查服务)和对照组48例(不定期检查及从未检查者),比较两组孕产妇的一般资料、妊娠结局(包括自然分娩情况、难产发生情况、剖宫产率、新生儿Apgar评分及死胎率)、并发症(包括孕妇产后出血、早产及胎膜早破等)及胎儿与孕妇的体质量情况。结果两组孕产妇的一般资料差异无统计学意义(P>0.05)。观察组孕产妇剖宫产率28.0%、死胎率0.0%、难产率10.0%显著较对照组孕产妇的54.2%、8.3%、52.1%低,而自然分娩率72.0%及新生儿Apgar评分(9.9±1.2)分明显较对照组孕产妇的45.8%、(8.2±0.9)分高,差异均有统计学意义(P<0.05)。观察组孕产妇及新生儿并发症发生率6.0%及2.0%明显低于对照组孕产妇及新生儿的27.1%及16.7%,差异均有统计学意义(P<0.05)。两组孕产妇体质量孕前差异无统计学意义(P>0.05),观察组胎儿及孕产妇孕期增长的体质量均显著较对照组胎儿及孕产妇孕期轻,差异有统计学意义(P<0.01)。结论 PC服务在高龄孕产妇中的合理应用可以有效缓解孕产妇产后的并发症发生率,确保母婴安全及健康,值得推广。

Objective To analyze the clinical application value of antenatal care service during pregnancy and delivery in pregnant women of advanced age. Methods The clinical data of 98 pregnant women of advanced age was analyzed,then the pregnant women were divided into observation group（ including 50 pregnant women receiving antenatal care service） and control group（ including 50 pregnant women not receiving prenatal health care service）. The general data,the pregnancy outcomes（ including natural delivery,dystocia,cesarean section rate,neonatal Apgar score,and stillbirth rate）,the complications（ including postpartum hemorrhage,premature labor,and premature rupture of membranes） and the weights of pregnant women and fetuses in the two groups were compared. Results There was no statistically significant difference in general data between the two groups（ P〉0. 05）. The rates of cesarean section,stillbirth,and dystocia in observation group were 28. 0%,0. 0%,and 10. 0%,respectively,which were statistically significantly lower than those in control group（ 54. 2%,8. 3%,52. 1%）（ P〈0. 05）. The rate of natural delivery and neonatal Apgar score in observation group were 72. 0% and（ 9. 9±1. 2） points,respectively,which were statistically significantly higher than those in control group [45. 8% and（ 8. 2±0. 9） points]（ P〈0. 05）. The incidence rates of maternal complications and neonatal complications in observation group were 6. 0% and 2. 0%,respectively,which were statistically significantly lower than those in control group（ 27. 1% and 16. 7%）（ P〈0. 05）. There was no statistically significant difference in progestation body mass index between the two groups（ P〉0. 05）. Body weight gain during pregnancy in observation group was statistically significantly lower than that in control group（ P〈0. 01）. Conclusion Rational application of antenatal care service can significantly relieve the incidence rate of postpartum complications in pregnant women of advanced age,which can ensure maternal and neonatal safety and health,antenatal care service is worthy of promotion.