高龄经产妇妊娠特点及分娩方式对其分娩结局的影响研究

Characteristics of maternal pregnancy and effect of delivery methods on outcome of delivery

目的探讨高龄经产妇妊娠特点及分娩方式对其妊娠结局的影响。方法收集60例2018年1月至2018年12月该院产科收治的高龄经产妇(年龄≥35岁)的临床资料,将其作为观察组,选择同期收治的60例非高龄经产妇(年龄<35岁)作为对照组,对两组产妇的基本信息、既往分娩情况、妊娠合并症、妊娠并发症、分娩方式、是否难产及新生儿结局等资料进行收集整理,总结两组孕产妇的妊娠特点及分娩方式对其分娩结局的影响。结果两组经产妇在平均产次、流产史发生率及剖宫产史发生率方面差异均无统计学意义(P>0.05);观察组经产妇的平均年龄、孕前体重及与上胎次间隔时间、剖宫率、分娩周龄、巨大儿比例均显著高于对照组经产妇(P<0.05);观察组的自然分娩率、新生儿体重及标准体重儿占比显著低于对照组(P<0.05),妊娠并发症总发生率显著高于对照组(P<0.05)。结论高龄经产妇妊娠特点及分娩方式会显著影响其妊娠并发症及胎儿标准体重,降低高龄经产妇比例对保障孕妇及胎儿健康具有重要意义。

【Objective】To investigate the effects of maternal pregnancy characteristics and delivery methods on pregnancy outcomes.【Methods】Clinical data of 60 aged women(≥35 years old)admitted to the obstetrics department of our hospital from January to December 2018 were collected,as an observation group,and 60 non-aged women(age<35 years old)who were treated in the same period were selected as the control group.Basic information about the two groups in past delivery,pregnancy complications,childbirth methods such as dystocia and neonatal outcomes was collected and summarized,and the pregnancy characteristics of the two groups of pregnant women and the effect of delivery methods on their delivery outcomes were summarized.【Results】There was no significant difference in the average production,incidence of abortion history and incidence of cesarean section between the two groups(P>0.05).The average age of the women in the observation group,the pre-pregnancy weight and the interval between the pregnancies and the cesarean section,the rateof cesarean section delivery,the age of delivery,the proportion of fetal macrosomia and the proportion of low births were significantly higher than those of the control group(P<0.05).The natural delivery rate,neonatal weight and the proportion of infants with standard weight in the observation group were significantly lower than those in the control group(P<0.05);the total incidence of pregnancy complications in the observation group was significantly higher than that in the control group(P<0.05).【Conclusion】The characteristics of pregnancy and delivery mode of elderly women will significantly affect their pregnancy complications and fetal standard weight.It is important to reduce the proportion of older multiparas to protect the health of pregnant women and fetuses.