妊娠合并帆状胎盘对胎儿结局影响分析

Analysis of the Effect of Pregnancy with Velamentous Placenta on Fetal Outcome

目的研究妊娠合并帆状胎盘对胎儿结局的影响。方法选取2018年1月-2021年6月我院接诊的93例妊娠合并帆状胎盘产妇为观察组,另选取同期我院接诊的93例未合并帆状胎盘产妇为对照组,比较两组分娩结局、早产发生率、胎儿宫内窘迫发生率、羊水质量、新生儿窒息发生率和Apgar评分、产后感染和出血发生率。结果观察组阴道自然分娩率低于对照组,剖宫产率、产钳助产率高于对照组,差异有统计学意义(P<0.05);观察组早产、胎儿宫内窘迫发生率高于对照组,差异有统计学意义(P<0.05);观察组羊水轻度污染率高于对照组,差异有统计学意义(P<0.05);中度、重度污染率与对照组比较,差异无统计学意义(P>0.05);观察组新生儿窒息率高于对照组,新生儿Apgar评分低于对照组,差异有统计学意义(P<0.05);观察组产后感染和出血发生率高于对照组(P<0.05)。结论妊娠合并帆状胎盘会增加剖宫产发生率,影响胎儿宫内安全,增加早产、胎儿宫内窘迫发生率、羊水轻度污染率以及新生儿窒息率和分娩质量,且会增加产妇产后并发症。临床应给予及时诊断、加强监测,以提高胎儿分娩结局。

Objective To study the effect of pregnancy with velamentous placenta on fetal outcome.Methods A total of 93 pregnant women with velamentous placenta admitted to our hospital from January 2018 to June 2021 were selected as the observation group,and 93 pregnant women without velamentous placenta admitted to our hospital during the same period were selected as the control group.The delivery outcome,the incidence of premature delivery,the incidence of fetal distress,the quality of amniotic fluid,the incidence of neonatal asphyxia and Apgar score,and the incidence of postpartum infection and bleeding were compared between the two groups.Results The vaginal natural delivery rate of the observation group was lower than that of the control group,and the cesarean section rate and forceps midwifery rate were higher than those of the control group,the difference was statistically significant(P<0.05).The incidence of premature delivery and fetal intrauterine distress in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The mild pollution rate of amniotic fluid in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the moderate and severe pollution rates between the observation group and the control group(P>0.05).The neonatal asphyxia rate in the observation group was higher than that in the control group,and the neonatal Apgar score was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of postpartum infection and bleeding in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Pregnancy with velamentous placenta can increase the incidence of cesarean section,affect fetal intrauterine safety,increase the incidence of premature delivery,fetal distress,mild amniotic fluid pollution,neonatal asphyxia rate and delivery quality,and increase maternal postpartum complications.Clinically,timely diagnosis and monitoring should be given to improve the outcome of fetal childbirth.