妊娠图的临床应用

Clinical Application of Gravidogram

本文通过3278例分析,说明妊娠图可筛查胎儿发育情况,及时发现IUGR、双胎妊娠和严重胎儿畸形,警惕胎儿宫内死亡。与产程图联合应用,见手术分娩随宫高上升而增多,胎儿窘迫为指征的手术产随宫高下降而增多,提示宫高分组能大致反映胎儿体重,产程图异常及难产率。可预测产程经过和分娩方式.有利于早期识别分娩的难易度和胎儿窘迫的危险度,及时处理,改善母婴预后。

Through the analysis of 3278 eases it showed that gravidogram can be used for screening fetal growth, early detection of IUGR, twins pregnancy, severe fetal anomaly, differential diagnosis of polyhydramnios and alarm fetal death. Both retr ospective and prospective study of monitoring on gravidogram with partogram showed that symphysial-fundal height(SF) can reflect fetal weight, abnormal partogram and dystocia. Operative delivery rate increased as SF increased. Fetal distress which is the indication of operative delivery increased as SF decreased. It can be used to predict labor course, delivery mode, early recognition of the difficulty of delivery, the risk of fetal distress and to be treated timely. It will improve maternal and fetal outcome.