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目的探讨过期妊娠合并羊水过少对分娩结局的影响,并选择适当方式终止妊娠,最大限度上降低围生儿发病率。方法选择85例(1组)过期妊娠合并羊水过少孕妇作为观察对象,并选取同期86例(2组)过期妊娠但羊水量正常的孕妇作为参照对象。比较两组孕妇分娩结局。结果 1组产妇剖宫产、产后出血及阴道助产率均高于2组,差异具有统计学意义(P<0.05);1组胎粪污染程度、胎儿呼吸窘迫发生率、新生儿窒息发生率均比2组高,差异具有统计学意义(P<0.05);选择适当方式终止妊娠,其中剖宫产终止妊娠预后效果显著优于阴道分娩。结论过期妊娠合并羊水过少可对围生儿分娩结局产生严重影响,目前最为行之有效的治疗方法是通过剖宫产终止妊娠,可充分减少围生儿发病率与病死率。
Objective To investigate the effect of oligohydramnios in term pregnancy on the outcome of delivery and to choose the appropriate way to terminate the pregnancy to minimize the incidence of perinatal infection. Methods A total of 85 pregnant women with oligohydramnios as the object of study were enrolled in this study. A total of 86 pregnant women with two groups of overdue pregnancies but normal amniotic fluid volume were selected as the reference subjects. Comparison of two groups of pregnant women delivery outcome. Results The incidences of cesarean section, postpartum hemorrhage and vaginal delivery in Group 1 were significantly higher than those in Group 2 (P <0.05). The incidence of meconium contamination, the incidence of fetal respiratory distress, the incidence of neonatal asphyxia Were higher than the two groups, the difference was statistically significant (P <0.05); choose the appropriate way to terminate the pregnancy, which cesarean section termination of pregnancy prognosis was significantly better than vaginal delivery. Conclusions Excessive pregnancy with oligohydramnios can have a serious impact on the delivery outcome of perinatal children. The most effective and effective treatment is termination of pregnancy by cesarean section, which can reduce the incidence and mortality of perinatal children.