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目的比较前置胎盘妊娠36周以上孕妇择期主动终止妊娠与临产后紧急终止妊娠的母婴结局差异,指导临床选择。方法选取2009-2014年来长春市妇产医院诊断为前置胎盘并期待至36孕周以上的104例孕妇为研究对象,根据孕妇自身情况和意愿分为择期剖宫产组53例和紧急剖宫产组51例,回顾性分析两组临床特征和母婴结局。结果择期剖宫产产妇术中术后出血量(527.2±102.5)ml、子宫切除率0.0%、产褥感染率3.8%、新生儿窒息发生率1.9%,与紧急剖宫产组的(1 135.1±418.3)ml、3.9%、19.6%、11.8%差异有统计学意义(P<0.05),新生儿出生体重(3 030.4±407.8)g与紧急剖宫产组(3242.3±414.5)g差异无统计学意义(P>0.05)。结论前置胎盘孕妇孕36周以上主动剖宫产终止妊娠,其妊娠结局优于临产后紧急终止妊娠,更有利于母婴安全。
Objective To compare the difference of maternal and infant outcomes between premature termination of pregnancy and emergency termination of pregnancy after 36 weeks gestation of placenta previa, to guide the clinical choice. Methods A total of 104 pregnant women diagnosed as placenta previa from 2009 to 2014 in Changchun Maternity Hospital and looking forward to more than 36 weeks of gestation were selected and divided into elective cesarean section group and cesarean section according to their own circumstances and wishes. Production group of 51 cases, two groups of clinical features and maternal and infant outcomes were retrospectively analyzed. Results Epidural postoperative cesarean section postoperative bleeding (527.2 ± 102.5) ml, hysterectomy rate 0.0%, puerperal infection rate 3.8%, the incidence of neonatal asphyxia 1.9%, and emergency cesarean section (1 135.1 (P <0.05). There was no significant difference in neonatal birth weight (3030.4 ± 407.8) g and emergency cesarean section (3242.3 ± 414.5) g Significance (P> 0.05). Conclusion The placenta previa pregnancy more than 36 weeks of active cesarean section termination of pregnancy, the pregnancy outcome is better than postpartum emergency termination of pregnancy, more conducive to mother and child safety.