妊娠高血压终止妊娠的时机和分娩方式的选择对母婴结局的影响

The Influence of Timing of Termination of Pregnancy and Choice of Delivery Mode on Maternal and Infant Outcomes in Patients with Pregnancy Induced Hypertension

目的:探讨妊娠高血压终止妊娠的时机和分娩方式的选择对母婴结局的影响。方法:选取东莞市东部中心医院2017年8月至2019年10月收治的310例妊娠高血压产妇作为研究对象,依据终止妊娠的时机以及分娩方式分为小组,依据终止妊娠的时机分为36周以上组(160例)和36周以下组(150例),依据分娩方式分为剖宫产组(165例)和阴道分娩组(145例),观察各组母婴结局。结果:36周以上组和36周以下组产妇产后感染、产后出血、围产儿死亡以及其他结局发生率比较,差异均无统计学意义(P>0.05);而比较两组新生儿窒息发生率,36周以上组低于36周以下组,差异具有统计学意义(P<0.05)。剖宫产组和阴道分娩组产妇新生儿窒息、产后出血、围产儿死亡以及其他结局发生率比较,差异均无统计学意义(P>0.05);而比较两组产后感染发生率,剖宫产组高于阴道分娩组,差异具有统计学意义(P<0.05)。结论:妊娠高血压产妇应该按照产妇的实际病情采用合理的分娩方式,科学选择终止妊娠时机,适当进行剖宫产可在一定程度上保护母婴安全。

Objective To explore the effect of the timing of termination of pregnancy and the choice of delivery mode on the outcome of maternal and infant in patient with pregnancy induced hypertension.Methods 310 patients with pregnancy induced hypertension treated in Dongguan Eastern Central Hospital from August 2017 to October 2019 were selected as the research objects.They were divided into groups according to the time of termination of pregnancy and the mode of delivery.They were divided into more than 36 weeks group (160 cases) and less than 36 weeks group (150 cases) according to the time of termination of pregnancy.They were divided into cesarean section group (165 cases) and vaginal delivery group according to the mode of delivery.Results There was no significant difference in the incidence of postpartum infection,postpartum hemorrhage,perinatal death and other outcomes between the above 36 week group and the below 36 week group (P > 0.05),but there was significant difference in the incidence of neonatal asphyxia between the two groups (P < 0.05).There was no significant difference in the incidence of neonatal asphyxia,postpartum hemorrhage,perinatal death and other outcomes between cesarean section group and vaginal delivery group (P > 0.05),but there was significant difference in the incidence of postpartum infection between cesarean section group and vaginal delivery group (P < 0.05).Conclusion Patients with pregnancy induced hypertension should adopt reasonable delivery methods according to their actual conditions,scientifically select the time of termination of pregnancy,and properly carry out cesarean section can protect the safety of mother and baby to a certain extent.