足月孕引产时的“过度干预”对分娩结局的影响

The effect of over intervention on delivery outcome in term pregnancy with induction of labor

目的 研究晚期妊娠引产时“过度干预”对母儿预后的影响。方法 选择 16 8例引产病例进行回顾性分析 ,并与 12 9例自然临产产妇进行对照。比较两组孕妇及围产儿预后。结果 引产组剖宫产率、胎儿宫内窘迫及新生儿窒息发生率明显高于自然临产组 (P <0 .0 5 ) ,且随引产时间逐渐延长 ,羊水浑浊、胎儿宫内窘迫及新生儿窒息的发生率逐渐增高。结论 减少产时不必要的、过度的干预 ,是降低围产期母儿病率及围产儿死亡率的关键之一。

Objective To study the effect of over intervention on prognosis of gravida and fetus in term pregnancy with induction of labor. Method To study 168 gravidas with induction of labor retrospectily, comparing with 129 gravidas with spontaneous labor. To compare the prognosis of gravidas and perinatals.Result The rate of caesarean, the incidences of fetal distress and asphyxia of newborn were higher than those of controls( P <0.05). With the time of induced labor prolonged, the incidences of meconium stained amnionic fluid, fetal distress and asphyxia of newborn were higher.Conclusion To decrease the over intervention which was not necessary was the key of reduction in mortality and morbidity of gravida and fetus in perinatal.