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目的:探讨早发型重度子痫前期的母儿结局及终止妊娠的时间和方式对妊娠结局的影响。方法:回顾性分析1999-01/2009-01荆州市第三人民医院妇产科收治的106例早发型重度子痫前期病例进行回顾性分析。结果:106例患者中利凡诺引产18例,阴道自然分娩13例,31例经治疗后病情好转继续妊娠,5例因经济原因放弃治疗自动出院,剖宫产39例,剖宫产率36.8%,无孕产妇死亡。孕30周后终止妊娠的新生儿窒息率和围产儿病死率及母体的并发症明显低于孕30周前终止妊娠者。结论:早发型重度子痫前期严密监测下短期期待治疗可明显降低围产儿病死率,改善围产儿结局,而孕产妇的并发症的发生率无明显增加。
OBJECTIVE: To investigate the effect of maternal and neonatal outcome of early-onset severe preeclampsia and the timing and manner of termination of pregnancy on pregnancy outcome. Methods: A retrospective analysis of 106 cases of early-onset severe preeclampsia treated by Department of Obstetrics and Gynecology, Third People’s Hospital of Jingzhou from January 1999 to January 2009 was retrospectively analyzed. Results: Of the 106 patients, 18 cases of rivanol induction of labor and 13 cases of spontaneous vaginal delivery, 31 cases of pregnancy improved after treatment, 5 cases of spontaneous discharge due to economic reasons to give up treatment, 39 cases of cesarean section, cesarean section rate of 36.8 %, No maternal deaths. Neonatal asphyxia and perinatal morbidity and maternal complications of termination of pregnancy after 30 weeks gestation are significantly lower than those who discontinued gestation 30 weeks prior to pregnancy. CONCLUSIONS: Short-term expectant treatment in patients with early-onset severe preeclampsia can significantly reduce the mortality rate of perinatal children and improve the outcomes of perinatal children. However, there is no significant increase in the incidence of complications of pregnant women.