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目的:探讨高原地区过期妊娠对母婴的影响。方法:对142例高原地区过期妊娠产妇(观察组)与同期分娩的足月妊娠产妇174例(对照组)进行分析,比较两组产妇分娩方式、母婴结局情况。结果:观察组的剖宫产率、产时损伤、产后出血、产褥病率均比对照组高,差异有统计学意义(P<0.05);观察组新生儿窒息率、羊水Ⅲ度粪染发生率、围产儿死亡率明显高于对照组,差异有统计学意义(P<0.05)。结论:在高原地区,过期妊娠可影响妊娠结局,需密切监护孕产妇的变化,必要时及时终止妊娠。
Objective: To investigate the effect of overdue pregnancy on mother and infant in plateau area. Methods: 142 cases of obstetric women (observation group) and 174 full-term pregnant women (control group) who delivered during the same period were analyzed. The maternal delivery mode and maternal and infant outcome were compared between the two groups. Results: The rate of cesarean section, birth injury, postpartum hemorrhage and puerperal morbidity in the observation group were significantly higher than those in the control group (P <0.05). In the observation group, neonatal asphyxia, The incidence of perinatal mortality was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion: In the plateau area, overdue pregnancy can affect the outcome of pregnancy. Close monitoring of the changes of the pregnant women and termination of pregnancy if necessary.