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目的探讨极高龄产妇的妊娠结局。方法回顾性分析2011-06/2016-06月年龄≥45岁在作者医院分娩的极高龄产妇59例作为观察组,同时选取同期年龄20~34岁的产妇200例作为对照组。比较2组产妇的一般情况、合并症、并发症、围生儿结局及分娩方式。结果观察组在妊娠期高血压疾病、妊娠糖尿病(gestational diabetes mellitus,GDM)/糖尿病(diabetes mellitus,DM)、早产、前置胎盘、胎盘植入、子宫肌瘤、贫血、不孕史、新生儿畸形的发生率与对照组相比,差异有统计学意义(P<0.05);而在产后出血、胎膜早破、羊水量异常、巨大儿、胎儿窘迫、新生儿窒息、围生儿死亡及低体质量儿的发生率与对照组比较,差异无统计学意义(P>0.05)。结论 45岁以上极高龄孕产妇合并症及并发症多,不孕史及新生儿畸形发生率高,应重视其围产期保健,早识别、早诊断、早处理妊娠合并症及并发症,尽早发现胎儿畸形,促进母婴健康安全。
Objective To explore the pregnancy outcomes of very senior mothers. Methods A retrospective analysis of 59 patients with extremely advanced age at the age of 45 years who were delivered at the hospital from June 2011 to June 2016 was taken as the observation group. Meanwhile, 200 pregnant women aged 20 to 34 were selected as the control group. The general condition, complications, complications, perinatal outcome and delivery mode were compared between the two groups. Results The observation group had no significant difference in gestational hypertension, gestational diabetes mellitus (DM), diabetes mellitus (DM), prematurity, placenta previa, placenta previa, uterine fibroids, anemia, The incidence of deformity was significantly higher than that of the control group (P <0.05). However, the incidence of postpartum hemorrhage, premature rupture of membranes, abnormal amniotic fluid volume, macrosomia, fetal distress, neonatal asphyxia, perinatal mortality and The incidence of low birth weight children compared with the control group, the difference was not statistically significant (P> 0.05). Conclusion 45 years old and over age pregnant women with complications and complications, infertility history and high incidence of neonatal malformations, should pay attention to its perinatal care, early identification, early diagnosis, early treatment of pregnancy complications and complications, as soon as possible Found fetal malformations, promote maternal and child health and safety.