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目的:研究妊娠晚期合并羊水过少对母婴的影响,寻找正确的临床处理方法。方法:回顾性研究笔者所在医院收治的延期妊娠产妇427例,以此中合并羊水过少的62例为观察组,365例羊水量正常的为比较组,比较研究两组产妇的分娩方式和新生儿的情形。结果:观察组胎儿宫内窘迫、新生儿窒息、巨大儿及发育不正常儿,产妇的剖宫产率、胎方位异常、产程延长、产后出血率,均显著高于比较组(P<0.05)。结论:延期妊娠合并羊水过少的妊娠结局较差,易造成胎儿宫内窘迫及新生儿窒息,所以相比羊水较少者,一经确诊要积极引产或剖宫产,以减少母婴的并发症。
Objective: To study the influence of oligohydramnios in late pregnancy on maternal and infant, and to find the correct clinical treatment. Methods: A retrospective study of 427 postpartum pregnant women admitted to our hospital was retrospectively studied. 62 cases of oligohydramnios combined with observation group and 365 cases of normal amniotic fluid volume were compared. The mode of delivery and neonatal Children’s situation. Results: The rate of cesarean section, fetal position abnormality, prolonged labor and postpartum hemorrhage in the observation group were significantly higher than those in the control group (P <0.05). The incidence of fetal distress, neonatal asphyxia, macrosomia and dysplasia, . Conclusion: Prolonged pregnancy combined with oligohydramnios have poor pregnancy outcome, easily lead to fetal distress and neonatal asphyxia, so compared with less amniotic fluid, once diagnosed to be active or cesarean section to reduce maternal and child complications .