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目的:探讨羊水过少孕妇分娩方式的选择及对妊娠结局的影响。方法:选择我院收治的妊娠羊水过少孕妇120例作为研究组,选择同期收治的120例羊水正常孕妇作为对照组。结果:研究组胎儿窘迫、脐带异常、胎儿宫内发育迟缓、新生儿窒息、过期妊娠、胎儿畸形的发生率均高于对照组,P均<0.05。研究组剖宫产率为89.17%,明显高于对照组的20.83%,P<0.05。研究组剖宫产产妇出现胎儿窘迫、围生儿死亡及新生儿窒息率明显低于同组阴道分娩产妇,P均<0.05。结论:羊水过少可显著提升妊娠并发症发生率、剖宫产率及胎儿生长受限率,应加强对羊水过少孕妇的临床监测,以便终止妊娠或选择最佳的分娩方式,有效保障母婴的健康与预后。
Objective: To investigate the choice of mode of delivery for pregnant women with oligohydramnios and the effect on pregnant outcome. Methods: 120 cases of pregnant women with oligohydramnios in our hospital were selected as the study group, and 120 cases of normal pregnant women with amniotic fluid admitted in the same period were selected as the control group. Results: The incidence of fetal distress, umbilical cord abnormality, intrauterine growth retardation, neonatal asphyxia, overdue pregnancy and fetal malformation in study group were all higher than those in control group (all P <0.05). Cesarean section rate was 89.17% in the study group, which was significantly higher than that in the control group (20.83%, P <0.05). Study group cesarean section fetus fetal distress, perinatal mortality and neonatal asphyxia were significantly lower than the same group of vaginal delivery mothers, P <0.05. Conclusions: Oligohydramnios can significantly improve the incidence of pregnancy complications, cesarean section rate and fetal growth restriction rate, should strengthen the clinical monitoring of oligohydramnios pregnant women in order to terminate the pregnancy or choose the best mode of delivery to effectively protect the mother The health and prognosis of infants.