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目的 通过分析三胎及四胎妊娠妇女的临床资料 ,总结围产期治疗及管理方法 ,了解孕产妇及围产儿结局。 方法 回顾性分析 2 5例三胎及四胎妊娠的围产期处理方法及母儿结局。 结果 16例三胎及 9例四胎妊娠的围产期管理方法包括营养、各种保胎措施、预防妊高征、胎儿监测及预防产后出血 ;分娩时平均孕周为 (35 .7± 2 .7)周和 (34.4± 2 .6 )周 ;新生儿平均出生体重为 (1981± 493) g和 (1817± 439) g;围产儿死亡率分别为 83‰ (4/ 48)和 16 7‰ (6 / 36 )。 结论 综合性的围产期管理可明显改善围产儿结局 ,减少母体并发症。
Objective To analyze the clinical data of third and fourth trimester pregnant women, summarize the perinatal treatment and management methods, and understand the outcomes of pregnant women and perinatal infants. Methods A retrospective analysis of 25 cases of third and fourth trimester pregnancy perinatal treatment and maternal and child outcomes. Results The perinatal management methods of 16 third trimester and 9 fourth trimester pregnancies included nutrition, various tocolysis measures, prevention of pregnancy-induced hypertension, fetal monitoring and prevention of postpartum hemorrhage. The average gestational age at delivery was (35.7 ± 2) .7) weeks and (34.4 ± 2.6) weeks; the average newborn birth weight was (1981 ± 493) g and (1817 ± 439) g; the perinatal mortality rates were 83 ‰ (4/48) and 16 7 ‰ (6/36). Conclusion Comprehensive perinatal management can significantly improve perinatal outcomes and reduce maternal complications.