妊娠期规律产检对高龄产妇围产期并发症及妊娠结局的影响研究

Study on the effect of regular prenatal examination on perinatal complications and pregnancy outcome in older women

目的探讨妊娠期规律产检对高龄产妇围产期并发症和妊娠结局的影响。方法选取2015年3月至2017年3月海安县人民医院收治的168例高龄孕妇的临床资料进行回顾性分析,根据孕妇是否进行定期产检分为研究组(118例)和对照组(50例)。比较两组围产期并发症及妊娠结局等情况。结果研究组早产、妊娠期高血压疾病、糖尿病、妊娠期肝内胆汁淤积症、胎膜早破、围产期感染、产后出血、晚期流产、剖宫产、难产、死胎等发生率明显低于对照组,差异有统计学意义(P<0.05)。研究组新生儿并发症发生率明显低于对照组,新生儿出生体重、新生儿Apgar评分、自然分娩率高于对照组,差异有统计学意义(P<0.05)。结论妊娠期规律产检可明显降低孕妇围生期并发症及不良妊娠结局发生率,有效改善母婴预后。

Objective To investigate the effect of regular prenatal examination on perinatal complications and pregnancy outcome in older women. Methods The clinical data of 168 cases of pregnant women in Hai＇an County People＇s Hospital Affiliated of Nantong University from March 2015 to March 2017 were retrospectively analyzed. According to whether adopted regular prenatal examination,they were divided into the experimental group（ 118 cases） and control group（ 50 cases）. The perinatal complications and pregnancy outcomes were compared between the two groups. Results The incidence of premature labour,gestational hypertension,preeclampsia,gestational diabetes mellitus,intrahepatic cholestasis of pregnancy,premature rupture of fetal membranes,perinatal infection,postpartum hemorrhage,late abortion in the experimental group were significantly lower than those in the control group,the differences were statistically significant（ P〈0. 05）. The incidence of neonatal complications in the experimental group was significantly lower than that in the control group. Compared with the control group,the neonatal birth weight,Apgar score and the natural childbirth rate were significantly increased,but the rate of cesarean section,dystocia,stillbirth were significantly decreased in the experimental group,the differences were statistically significant（ P〈0. 05）. Conclusion Regular prenatal examination can significantly reduce the incidence of perinatal complications and adverse pregnancy outcomes,therefor effectively improving the prognosis of mother and infant.