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目的:分析晚期妊娠羊水过少对母婴影响,探讨正确的处理方法,降低围产儿病死率。方法:收集近两年我院296例晚期妊娠羊水过少孕妇作为研究组,随机抽取同期羊水量正常孕妇296例作为对照组,两组年龄、孕周、孕产次差异均无显著性,对羊水过少孕妇的分娩方式及新生儿结局进行分析。结果:研究组胎儿畸形,胎儿窘迫,脐带绕颈,胎儿生长受限,妊娠期高血压及剖宫产率等明显高于对照组,差异有统计学意义(P<0.01),新生儿窒息两组无显著性差异。结论:羊水过少严重威胁胎儿、新生儿的生命安全,应加强产前检查,发现羊水过少及时处理,产程中严密监护,适时剖宫产,可改善围产儿预后。
OBJECTIVE: To analyze the influence of oligohydramnios in late pregnancy on maternal and infant, explore the correct treatment and reduce the mortality of perinatal. Methods: A total of 296 pregnant women with oligohydramnios in late pregnancy were collected as research group. 296 normal pregnant women with the same amount of amniotic fluid during the same period were randomly selected as the control group. There was no significant difference in age, gestational age, Analysis of the mode of delivery and neonatal outcomes of pregnant women with oligohydramnios. Results: The incidence of fetal malformations, fetal distress, cord around the neck, fetal growth restriction, gestational hypertension and cesarean section rate were significantly higher in the study group than in the control group (P <0.01). Neonatal asphyxia two No significant difference between groups. Conclusions: Oligohydramnios seriously threatens the life safety of fetus and newborn. Prenatal examination should be strengthened and oligohydramnios should be treated promptly. Close monitoring during labor and timely cesarean section can improve perinatal outcome.