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目的:探讨高龄初产妇对围生儿的影响。方法:选择自2013年9月-2014年9月来我院住院分娩的150例高龄初产妇作为观察组,另取同期150例非高龄初产妇作为对照组,将两组产妇的分娩方式和围生儿情况对比分析。结果:观察组自然分娩率为13.3%,对照组自然分娩率为46.7%,两组相比,观察组明显低于对照组;而观察组的剖宫产率为74.7%,对照组的剖宫差率为10.0%,两组相比,观察组明显高于对照组,差异有统计学意义(P<0.05或P<0.01),两组产钳助娩差异无统计学意义(P>0.05);围生儿情况,观察组的新生儿死亡率,胎儿生长受限,新生儿窒息,新生儿畸形率均高于对照组,两组相比,差异有统计学意义(P<0.05)。结论:高龄初产妇影响围生儿的结局,加大对高龄初产妇的重视,确保分娩安全,尽量避免高龄妊娠,加大对高龄初产妇的监护及时处理和预防。
Objective: To investigate the impact of early primipara on perinatal children. Methods: A total of 150 early primiparous women who were hospitalized in our hospital from September 2013 to September 2014 were selected as the observation group. Another 150 nonpregnant primiparous women were selected as the control group during the same period. Comparative Analysis of Infants’ Situation. Results: The rate of natural childbirth was 13.3% in the observation group and 46.7% in the control group. Compared with the control group, the rate of spontaneous delivery in the observation group was significantly lower than that in the control group. The cesarean section rate in the observation group was 74.7% The difference was statistically significant (P <0.05 or P <0.01). There was no significant difference between the two groups in forceps delivery (P> 0.05). Perinatal situation, the observation group neonatal mortality, fetal growth restriction, neonatal asphyxia, newborn deformity rate were higher than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion: The early primipara affects the outcome of perinatal infants, increases the importance of early primipara, ensures the safety of childbirth, avoids the old pregnancy as far as possible, and increases the guardianship and timely treatment and prevention of the early primipara.