孕期保健在高龄产妇妊娠和分娩期并发症及妊娠结局中的作用

Efficacy of pregnancy health care on pregnancy and labor complications and pregnancy outcomes in elderly puerpera

目的探讨孕期保健在高龄产妇妊娠和分娩期并发症及妊娠结局中的作用。方法选取2016年1月~2017年1月在我院进行产检的780例高龄产妇,对其临床资料进行回顾性分析,将产检次数≥7次的390例产妇作为观察组,将产检次数<7次的390例产妇作为对照组,对两组产妇的妊娠期及分娩期的新生儿并发症和妊娠结局进行比较分析。结果观察组的妊娠肝内胆汁淤积症(ICP)、妊娠高血压及糖尿病、胎膜早破、子痫前期、晚期流产率、产后出血、围产期感染的发生率低于对照组;新生儿窒息、低血糖、巨大儿、红细胞增大症及高胆红素血症的发生率低于对照组,差异有统计学意义(P<0.05)。结论将规范的孕期保健应用于高龄产妇的妊娠期和分娩期,可以明显减少并发症的发生,有效提高母婴分娩预后,适合推广。

Objective To explore the efficacy of pregnancy health care on pregnancy and labor complications and pregnancy outcomes in elderly puerpera.Methods A total of 780 elderly puerpera who were given antenatal care haour hos- pital from January 2016 to January 2017 were selected,and their clinical data were retrospectively analyzed.390 pregnant women with the number of antenatal care of more than 7 times（including 7 times） were assigned to the observation group,and 390 pregnant women with the number of antenatal care of less than 7 times were assigned to the control group.The neonatal complications and gestationat outcome were compared and analyzed between the two groups during pregnancy and labor.Results The incidence rates of-intrahepatic cholestasis of pregnancy （ICP）,pregnancy-induced hy- pertension and diabetes mellitus,premature rupture of membranes,preeclampsia,advanced abortion rate,postpartum hemorrhage and perinatal infection in the observation group were lower than those in the control group;the incidence rates of neonatal asphyxia,hypoglycemia,macrosomia,erythrocytosis and hyperbilirubinemia were lower than those in the control group,and the differences were statistically significant（P〈0.05）.Conclusion The application of standardized pregnancy health care in elderly puerpera during pregnancy and labor can significantly reduce the incidence rate of complications,and effectively improve the prognosis of delivery,which is suitable for promotion.