目的 比较高危妊娠孕妇与非高危妊娠孕妇间的剖宫产率及分娩时发生胎儿窘迫、新生儿窒息、围产儿死亡、产后出血发生的情况,探讨减少高危妊娠发生的对策.方法 将具有高危因素的1 183例孕妇,与同期的1 298例非高危妊娠孕妇进行对比和分析,找出高危妊娠的可控制因素.结果 与非高危妊娠孕妇比较,年龄≥35岁、有妇科手术史的高危孕妇更易发生产后出血(χ2值分别为12.25和22.38,均P＜0.01);人工流产≥2次和有剖宫产史的孕妇较非高危孕妇更易发生产后出血,(χ2值分别为76.83和42.05,均P＜0.01);妊娠合并症的高危孕妇较非高危孕妇更易发生胎儿窘迫和新生儿窒息(χ2值分别为4.61和6.63,均P＜0.05);本次妊娠异常的孕妇较非高危孕妇更易发生胎儿窘迫、新生儿窒息、围产儿死亡及产后出血(χ2=10.18～68.06,均P＜0.05).结论 减少人工流产,严格掌握剖宫产指征,适时生育等,可减少不良妊娠结局的发生.%Objective To compare the rate of cesarean section between high-risk pregnant women and non-high-risk pregnant women and the incidence of fetal distress, neonatal asphyxia, perinatal death and postpartum hemorrhage at delivery, and to explore the countermeasures to reduce the incidence of high-risk pregnancy. Methods Altogether 1 183 cases of pregnant women with high-risk factors were compared with 1298 cases of non-high-risk pregnant women at the same period to identify controllable factors of high-risk pregnancy. Results Compared with non-high-risk pregnant women, the pregnant women ≥35 years of age and having gynecological surgery history were more susceptible to postpartum hemorrhage (χ2 value was 12. 25 and 22. 38, respectively, both P <0. 01 ), and the pregnant women with more than two times of induced abortion and having cesarean section history were also more susceptible to postpartum hemorrhage ( χ2 value was 76. 83 and 42.05, respectively, both P <0. 01 ). The incidence of fetal distress and neonatal asphyxia was higher in high-risk pregnant women with pregnancy complications (χ2 value was 4. 61 and 6. 63, respectively, both P < 0. 05 ). Pregnant women with abnormality at this time were more likely to have fetal distress, neonatal asphyxia, perinatal death and postpartum hemorrhage (χ2 = 10. 18-68.06, all P<0.05 ). Conclusion Reducing induced abortion, strictly controlling the indications of cesarean section and timely fertility can reduce the occurrence of adverse pregnancy outcomes.
展开▼
