高龄孕妇多次剖宫产手术临床分析

目的分析高龄孕妇多次剖宫产手术临床特征。方法选取医院2009年5月至2017年5月收治的多次接受剖宫产的高龄孕妇200例,作为多次组;另选取同期收治的初次接受剖宫产手术的高龄孕妇200例,作为初次组。统计分析两组孕妇的年龄及孕周构成、孕期产检次数、剖宫产指征。结果多次组孕妇的孕期产检次数0次、1~3次、4~6次比例均显著高于初次组(P<0.05),≥7次比例显著低于初次组(P<0.05);多次组剖宫产指征瘢痕子宫、巨大儿、胎位不正比例均显著高于初次组(P<0.05),胎位异常、胎儿宫内窘迫、胎膜早破羊水少、无指征要求比例均显著低于初次组(P<0.05);两组孕妇产科并发症、过期妊娠比例差异均无统计学意义(P>0.05)。结论有效的孕前、孕期及产前宣教作用能有效降低高龄孕妇多次剖宫产手术率。

Objective To analyze the clinical characteristics of multiple cesarean section in elderly pregnant women. Methods Totally 200 elderly pregnant women who received cesarean section from May 2009 to May 2017 were selected as multiple groups,and 200 elderly pregnant women who received cesarean section for the first time in the same period were selected as the first group.The age and gestational age of pregnant women,the number of maternal examinations during pregnancy,cesarean section indications in the two groups were statistically analyzed.Results The proportions of 0,1-3,4-6 times of pregnant women in the multiple group were significantly higher than those in the first group(P<0.05).The proportion of more than 7 times in the multiple group was significantly lower than that in the first group(P<0.05).The proportions of scarred uterus,macrosomia and fetal malposition in the multiple group were significantly higher than those in the first group (P<0.05).The proportions of abnormal fetal position,fetal distress,premature ruption of amniotic fluid and no indication in the multiple group were significantly lower than those in the first group(P<0.05).There was no significant difference in obstetric complications and the proportion of late pregnancy between the two groups(P>0.05).Conclusion Effective pre-pregnancy, pregnancy and prenatal education can effectively reduce the rate of multiple cesarean section in elderly pregnant women.