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目的:了解西藏地区某医院高龄孕产妇妊娠并发症及分娩方式的现状,为其防治提供依据。方法:对西藏某医院976例高龄孕产妇(≥35岁)与7075例非高龄孕产妇的妊娠并发症、分娩方式及妊娠结局进行回顾对比性分析。结果:高龄孕产妇妊娠期高血压疾病、妊娠合并心脏病、早产、瘢痕子宫、不良宫缩均高于非高龄孕产妇(P<0.05),两组间的胎儿死胎、臀位、二胎有差异(P<0.05),在分娩方式方面,高龄孕产妇剖宫产率高于非高龄孕产妇(P<0.05)。结论:做好西藏地区高龄孕产妇预防保健措施,对防治其相关并发症及降低胎儿的不良结局有重要的意义。
OBJECTIVE: To understand the status of pregnancy complications and delivery mode of the elderly pregnant women in a hospital in Tibet, and provide the basis for their prevention and treatment. Methods: A retrospective comparative analysis of pregnancy complications, delivery patterns and pregnancy outcomes among 976 elderly pregnant women (≥35 years old) and 7075 non-elderly pregnant women in a hospital in Tibet was conducted. Results: The incidence of gestational hypertension, pregnancy complicated with heart disease, premature birth, scar uterus and poor uterine contractions in elder pregnant women were significantly higher than those in non-elder pregnant women (P <0.05) .Fetal stillbirth, breech, (P <0.05). In terms of mode of delivery, the rate of cesarean section in elder pregnant women was higher than that in non-elder pregnant women (P <0.05). Conclusion: The prevention and treatment of geriatric maternal health in Tibet is of great significance in preventing and treating its related complications and reducing the unfavorable outcome of the fetus.