摘要
目的探讨晚期妊娠合并羊水过少胎心监测与围生儿结局的相关性,以期提高妊娠结局。方法收集2016年1-12月在该院分娩的127例晚期妊娠合并羊水过少产妇的临床资料,分析胎心监测与围生儿结局的相关性。结果两组间剖宫产率、羊水污染率、胎儿宫内窘迫发生率比较,差异均有统计学意义(均P<0.05),但两组间围生儿死亡率比较,差异无统计学意义(P>0.05)。分娩方式、羊水污染、胎儿宫内窘迫发生率随着波形分类级别的增加而增加,两组间差异均有统计学意义(均P<0.05),但两组间围生儿死亡率比较,差异无统计学意义(P>0.05)。结论应时刻注意晚期妊娠合并羊水过少产妇的羊水情况、产妇现状并加强胎心监测,对于出现胎儿宫内窘迫的产妇及时终止妊娠,降低围生儿发病率及死亡率。
Objective To explore the correlation between fetal heart rate monitoring and perinatal outcomes in pregnant women with oligohydramnios during the third trimester of pregnancy,improve pregnancy outcomes. Methods A total of 127 pregnant women with oligohydramnios during the third trimester of pregnancy gave birth to their babies in the Second People＇s Hospital of Yibin from January to December in 2016,then the clinical data was collected,the correlation between fetal heart rate monitoring and perinatal outcomes was analyzed.Results There were statistically significant differences in cesarean section rate,the incidence rates of amniotic fluid pollution and fetal distress between the two groups（ all P〈0. 05）,but there was no statistically significant difference in perinatal mortality between the two groups（ P〈0. 05）. Delivery modes,the incidence rates of amniotic fluid pollution and fetal distress increased with the increase of waveform classification grades,there were statistically significant differences between the two groups（ all P〈0. 05）. There was no statistically significant difference in perinatal mortality between the two groups（ P〈0. 05）. Conclusion Amniotic fluid and status of pregnant women with oligohydramnios during the third trimester of pregnancy should be paid more attention to,fetal heart rate monitoring should be enhanced,pregnancy should be terminated among the pregnant women with fetal distress to reduce the morbidity and mortality of perinatal infants.
出处
《中国妇幼保健》
CAS
2018年第6期1297-1299,共3页
Maternal and Child Health Care of China
基金
宜宾市科技计划项目(2014SF019)
关键词
晚期妊娠
羊水过少
胎心监测
围生儿死亡
Late pregnancy
Oligohydramnios
Fetal heart monitoring
Perinatal death
