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目的探讨精神疾病合并妊娠患者的孕育现状。方法回顾性分析2009年10月—2011年3月我院收治的40例精神疾病合并妊娠患者的临床资料。结果用药期间妊娠12例(30%),其中主动终止妊娠8例(20%),因精神疾病复发采取治疗性流产4例(10%);自行停药妊娠7例(17.5%),其中病情尚稳定,足月顺产1例(2.5%),2例由于病情反复间断用药,至预产期行剖腹产(5%),4例病情严重,行治疗性流产3例(7.5%),引产1例(2.5%);在精神科医生指导下妊娠者21例(52.5%),足月顺产7例(17.5%),剖腹产13例(32.5%),孕2月胎停育行治疗性流产1例(2.5%)。结论对精神疾病患者及家属进行孕前用药指导,有助于患者病情稳定,安全妊娠。
Objective To explore the status quo of pregnant women with mental illness complicated with pregnancy. Methods The clinical data of 40 patients with mental disorders complicated with pregnancy admitted to our hospital from October 2009 to March 2011 were retrospectively analyzed. Results During pregnancy, 12 cases (30%) were pregnant, 8 cases (20%) terminated spontaneous pregnancy, 4 (10%) treated abortion due to mental illness recurrence, 7 cases (17.5% (2.5%), 2 cases of intermittent medication because of the disease, to the pre-term caesarean section (5%), 4 cases of serious illness, the treatment of three cases of induced abortion (7.5%), one case of induced labor (52.5%) under the guidance of psychiatrists, 7 cases (17.5%) of full-term follow-up, 13 cases (32.5%) of caesarean section and 1 case of abortion 2.5%). Conclusion Mental illness patients and their families pre-pregnancy medication guidance, help patients with stable and safe pregnancy.