产前子痫分娩时机及方式选择探讨

Discussion on timing and mode selection of prenatal eclampsia delivery

目的:探讨产前子痫分娩时机,分析可以确保母婴安全的分娩方式。方法:选取本院2016年10月至2018年10月收治的40例产前子痫分娩孕产妇作为研究对象,分析40例产妇的临床治疗以及分娩过程,探讨分娩方式与分娩时机对妊娠结局的影响,统计与评估40例患者的妊娠结局与分娩质量。结果:在28例阴道分娩产妇中,新生儿死亡3例,产妇死亡1例;在12例剖宫产分娩产妇中,新生儿死亡1例,无产妇死亡。其中,在4例死亡的新生儿中,3例是在子痫控制至终止妊娠时间超过6h的情况下重度窒息死亡,1例为死胎。结论:对产前子痫的孕产妇在6h以内及时行剖宫产手术终止妊娠是改善分娩结局、提高新生儿存活率、治疗产前子痫的有效方式。

Objective:To investigate the timing of delivery of preeclampsia and to analyze the mode of delivery that can ensure the safety of mother and child. Methods: A total of 40 prenatal eclampsia maternal women from October 2016 to October 2018 were enrolled in our hospital. The clinical treatment and delivery process of 40 maternal women were analyzed to investigate the effect of delivery mode and timing of delivery on pregnancy outcome, statistics and assessment of pregnancy outcomes and delivery quality in 40 patients. Results: Among 28 vaginal delivery women, 3 died of neonatal death and 1 died of maternal death. Among 12 cesarean delivery women, 1 died of neonatal death and no maternal death. Among them, among the 4 neonates who died, 3 were severe asphyxia deaths in the case of eclampsia control to more than 6 hours after termination of pregnancy, and 1 case was stillbirth. Conclusions: It is an effective way to improve the outcome of delivery, improve the survival rate of neonates and treat prenatal eclampsia by gestational cesarean section within 6 hours of maternal prenatal eclampsia.