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妊娠41周母婴高危程度的探讨 被引量:20

Investigation on maternal and fetal high risk factors during the 41th week gestation.
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摘要 本文对妊娠≥41~<42周孕妇在孕晚期每周进行血hPL测定、胎儿监护和B超检查等联合监测及母婴发病率的观察,并与妊娠≥37~<41周组和妊娠≥42周组比较。结果表明,妊娠41周胎儿宫内窘迫及手术产的发病率高于妊娠≥37~<41周组,与过期妊娠组相似。研究提示,妊娠41周母婴存在一定程度的高危因素,应利用多种监护手段进行监测,及时发现母儿异常,给予相应处理,以降低母儿发病率和围产儿病死率。 Pregnant women at≥41 to<42 week gestation were investigated weekly for serum human placental lactogen (HPL), fetal heart rate (FHR)monitoring and ultrosonography, and the incidences of maternal and fetal complications were observed and compared with patients at ≥37 to <41and≥42 week gestation. The results showed that the incidences of intrapartum fetal distress and operative delivery were significantly hihger in the 41 week group than in the≥37 to<41 week group, similar to those of prolonged pregnancy, and there was a certain degree of placental dysfunction and other high risk factors in the 41 week gestation. The authors concluded that combined monitoring methods should be used to reduce maternal and fetal morbidity and mortality.
出处 《中国实用妇科与产科杂志》 CAS CSCD 1995年第2期81-83,共3页 Chinese Journal of Practical Gynecology and Obstetrics
关键词 妊娠 过期妊娠 胎儿宫内窘迫 Pregnancy Postadism Fetal distress labour
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