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目的:探讨对超期妊娠实施产科干预对分娩方式等方面的影响。方法:选择无任何合并症及并发症的超期妊娠294例,就其宫颈评分、对静滴缩宫素引产的依从性、最终分娩方式、新生儿体重进行回顾性总结分析。结果:294例超期妊娠中,愿意实施缩宫素引产者仅占30.6%,引产成功127例,其余均实施了剖宫产,新生儿体重在3500g以上者177例。结论:超期妊娠者胎儿巨大儿发生较多,对静滴缩宫素引产的依从性较差,如进行适当的产科干预,可降低剖宫产率。
Objective: To explore the impact of obstetric intervention on the mode of delivery during extended pregnancy. Methods: A total of 294 cases of extended pregnancy without any comorbidities and complications were retrospectively analyzed in terms of their cervical score, compliance with intravenous oxytocin induction, final mode of delivery and neonatal weight. Results: Of the 294 cases of extended pregnancy, only 30.6% were willing to carry out oxytocin induction and 127 were successful in inducing labor. All the others had cesarean section, and 177 newborns weighing 3500 g or more. CONCLUSION: Fetal macrosomia occurs more frequently in extended-term pregnancies and has less compliance with intravenous oxytocin induction. For example, suitable obstetric intervention can reduce the rate of cesarean section.