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目的:分析高龄经产妇妊娠的临床情况。方法:随机选择中山市西区医院2015年1月至2017年4月分娩的高龄经产妇200例,根据是否参加规范性产前检查划分观察组和对照组,观察组、对照组产妇各100例,对两组妊娠情况进行分析。结果:观察组规范产检:初次产检均在孕12周以前建保健手册,孕中、晚期各产检2次以上,产检次数达到5次以上,对照组产检不规范;观察组平均子宫瘢痕厚度为(2.36±0.55)mm,对照组为(2.10±0.51)mm;观察组叶酸片补充率96%,唐氏综合症筛查率93%,地中海贫血筛查率92%,对照组分别为63%、23%、27%。观察组的妊娠期糖尿病、妊娠期高血压、胎位异常、巨大胎儿、低体质量儿、剖宫产率、产后出血、胎儿畸形等并发症明显低于对照组。结论:高龄经产妇围生期并发症发生率较高,必须做好围生期管理,以保障妊娠安全,减少剖宫产率。
OBJECTIVE: To analyze the clinical situation of geriatric maternal pregnancy. Methods: 200 elderly women of childbearing age were randomly selected from Zhongshan Western Hospital from January 2015 to April 2017. 100 maternal women were divided into observation group, control group, observation group and control group according to whether to participate in normative prenatal examination. Analysis of the two groups of pregnancy. Results: The observation group normative examination: the first time of pregnancy were 12 weeks pregnant before the birth of health manuals, pregnancy, late pregnancy more than 2 times, the number of births more than 5 times, the control group of childbirth is not standardized; observation group average uterine scar thickness ( 2.36 ± 0.55) mm in the control group and (2.10 ± 0.51) mm in the control group. The folic acid supplementation rate was 96% in the observation group, 93% in the Down Syndrome, 92% in the thalassemia screening group, 63% in the control group, 23%, 27%. The complications such as gestational diabetes mellitus, gestational hypertension, abnormal fetal position, huge fetus, low birth weight, cesarean section rate, postpartum hemorrhage and fetal malformation in the observation group were significantly lower than those in the control group. Conclusion: The incidence of perinatal complications in elderly women is high, so we must manage the perinatal period in order to ensure the safety of pregnancy and reduce the rate of cesarean section.