妊娠晚期羊水过少对妊娠结局及分娩方式的影响

目的分析孕产妇妊娠晚期出现羊水过少情况对其妊娠结局和分娩方式的影响。方法选取行住院分娩的妊娠晚期羊水过少孕产妇30例作为临床研究对象,并将其作为研究组。另选同期于产科病房进行住院分娩的妊娠晚期羊水正常孕产妇30例作为对照组。回顾性分析2组孕产妇的临床资料,观察2组孕产妇的分娩方式选择、妊娠合并症等情况,并进行对比分析。结果研究组孕产妇的剖宫产率80.00%、产后出血量（319.41±62.34）mL与妊娠高血压疾病发生率26.67%、过期妊娠发生率20.00%、羊水胎粪污染Ⅱ-Ⅲ度发生率26.67%、胎儿窘迫发生率26.67%、新生儿窒息发生率26.67%、吸入性肺炎发生率20.00%均明显高于对照组（P〈0.05）。结论妊娠晚期羊水过少会对孕产妇的妊娠结局产生不良影响,威胁母婴的身体健康,因此临床应加强对孕产妇的诊断及监测工作,及时终止妊娠,以有效改善围生儿的预后。

Objective To observe and analyze the effect of the pregnant women＇s late pregnancy on the pregnancy outcome and delivery mode. Methods 30 cases of pregnant women with late pregnancy were selected as the clinical research object, and as the research group. Over the same period in maternity ward for hospital delivery of amniotic fuid in late pregnancy and 30 normal pregnant women were selected as control group. Retrospective analysis of the clinical data of two groups of pregnant women, the two groups were observed in the delivery mode choice, pregnancy complications, and a comparative analysis. Results Maternal cesarean section, postpartum hemorrhage and pregnancy hypertension disease, prolonged pregnancy, amniotic fuid meconium stained II -III degree, fetal distress, neonatal asphyxia, inhalation pneumonia incidence of research group weresignifcantly higher than those of the control group （P 〈 0.05）. Conclusion In the late pregnancy, amniotic fuid is a bad infuence on the pregnant outcome of pregnant women, the threat to maternal and child health, so it should strengthen the diagnosis and monitoring of pregnant women, the timely termination of pregnancy, to effectively improve the prognosis of perinatal.