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目的探讨高龄孕产妇妊娠及分娩结局。方法 180例孕产妇作为研究对象,根据孕产妇年龄将其分为观察组(年龄≥35岁)与对照组(年龄<35岁),各90例。对两组产妇的临床资料进行回顾性分析,统计两组剖宫产率、胎儿情况、并发症及妊娠合并症发生情况,并进行对比分析。结果观察组剖宫产率为65.6%,与对照组的27.8%比较,差异具有统计学意义(P<0.05);观察组并发症、妊娠合并症发生率均明显高于对照组,差异具有统计学意义(P<0.05);观察组Apgar评分明显低于对照组、新生儿体质量明显大于对照组,差异有统计学意义(P<0.05)。结论高龄孕产妇出现妊娠合并症和并发症的几率明显增加,对母婴均有不利的影响,临床应根据产妇分娩期及妊娠期特点,选择合适的分娩方式,以改善母婴结局。
Objective To investigate the pregnant and delivery outcomes of elderly pregnant women. Methods One hundred and eighty pregnant women were divided into the observation group (age ≥35 years) and control group (age ≤35 years) according to their maternal age, and each group included 90 cases. The clinical data of two groups of maternal women were retrospectively analyzed. The incidences of cesarean section, fetal status, complications and pregnancy complications were analyzed and compared. Results The rate of cesarean section in the observation group was 65.6%, which was significantly different from that in the control group (P <0.05). The incidence of complications and pregnancy complications in the observation group was significantly higher than that in the control group (P <0.05). The Apgar score of the observation group was significantly lower than that of the control group, and the newborn’s weight was significantly higher than that of the control group (P <0.05). Conclusions The incidence of complications and complications of pregnancy in elderly pregnant women is significantly increased, which has adverse effects on both mother and infant. The mode of delivery should be chosen according to the characteristics of childbirth and pregnancy, so as to improve the outcome of mother-infant.