摘要
目的探讨高龄瘢痕子宫孕产妇的分娩方式及妊娠结局.方法抽取济南市妇幼保健院自2015年1月至2018年12月止诊治的300例高龄瘢痕子宫孕产妇为观察组,另选择同期同年龄段的非瘢痕子宫孕产妇300例并纳入对照组.比较两组产妇的合并症、分娩结局、围生儿情况以及产后并发症情况.结果两组产妇前置胎盘和胎盘黏连与植入发生率比较,差异未见统计学意义(P>0.05),而观察组产妇的妊娠高血压、妊娠糖尿病、胎膜早破以及早产发生率均高于对照组(P<0.05);两组产妇子宫切除、胎儿畸形、新生儿窒息、围生儿死亡率比较,差异有统计学意义(P>0.05);观察组产妇的剖宫产率、巨大儿、低体质量儿发生率高于对照组产妇(P<0.05);观察组产妇产后晚期产后出血、产褥期感染、切口愈合不良以及子宫复旧不良等并发症发生率高于同期对照组(P<0.05).结论高龄瘢痕子宫孕产妇的妊娠合并症和剖宫产率较高,再次分娩时产后并发症风险较高,且产后恢复较慢,针对此类孕产妇需加强监护并采取有效的预防性措施维护母婴安全.
Objective To analyze the delivery mode and pregnancy outcome in the old pregnant and lying-in women with scar uterus.Methods A total of 300 cases of elderly scar uterus pregnant and lying-in women treated in Jinan Maternal and Child Health Care Hospital from January 2015 to December 2018 were selected as observation group,and 300 cases of non-scarring uterus and pregnant women in the same age group were selected and included in the control group.The complications,outcome of the delivery,perinatal conditions and postpartum complications of the two groups were compared.Results There was no significant difference between the incidence of placenta and placenta between the two groups(P>0.05).The incidence of urinary disease,premature rupture of membranes and premature delivery were significantly higher than those in the control group(P<0.05),but there was no significant difference in the incidence of hysterectomy,fetal malformation,neonatal asphyxia or perinatal death between the two groups(P>0.05).The rate of cesarean section,macrosomia and low birth weight in the observation group was significantly higher than that in the control group(P<0.05).The incidences of late postpartum hemorrhage,puerperal infection,wound healing and uterine restoration in the observation group were significantly higher than those in the control group(P<0.05).Conclusions Pregnancy complications and caesarean section in elderly women with scar uterus are high,while the risk of post-partum complications is high during the re-delivery,and the post-natal recovery is slow,for this pregnant and lying-in women,we should strengthen the monitoring and take effective preventive measures for the maintenance of mother-to-child safety.
作者
巩俊
高凤春
徐宁
韩颖
王鹏
Gong Jun;Gao Fengchun;Xu Ning;Han Ying;Wang Peng(Department of Obstetrics and Gynecology,Jinan Maternal and Child Health Hospital,Jinan 250001,China;Department of Obstetrics,Jinan Maternal and Child Health Hospital,Jinan 250001,China;Department of Neurology,Jinan First People’s Hospital,Jinan 250000,China;Department of Critical Care Medicine,Shandong Provincial Hospital,Jinan 250021,China)
出处
《中国实用医刊》
2019年第20期55-57,共3页
Chinese Journal of Practical Medicine
关键词
瘢痕子宫
妊娠结局
分娩方式
Scar uterus
Pregnancy outcome
Delivery mode
