目的分析孕期保健(PC)服务在高龄产妇妊娠及分娩期间的临床应用价值。方法分析98例高龄孕产妇的临床资料,根据有无接受PC服务将其分成观察组50例(接受产前保健及检查服务)和对照组48例(不定期检查及从未检查者),比较两组孕产妇的一般资料、妊娠结局(包括自然分娩情况、难产发生情况、剖宫产率、新生儿Apgar评分及死胎率)、并发症(包括孕妇产后出血、早产及胎膜早破等)及胎儿与孕妇的体质量情况。结果两组孕产妇的一般资料差异无统计学意义(P>0.05)。观察组孕产妇剖宫产率28.0%、死胎率0.0%、难产率10.0%显著较对照组孕产妇的54.2%、8.3%、52.1%低,而自然分娩率72.0%及新生儿Apgar评分(9.9±1.2)分明显较对照组孕产妇的45.8%、(8.2±0.9)分高,差异均有统计学意义(P<0.05)。观察组孕产妇及新生儿并发症发生率6.0%及2.0%明显低于对照组孕产妇及新生儿的27.1%及16.7%,差异均有统计学意义(P<0.05)。两组孕产妇体质量孕前差异无统计学意义(P>0.05),观察组胎儿及孕产妇孕期增长的体质量均显著较对照组胎儿及孕产妇孕期轻,差异有统计学意义(P<0.01)。结论 PC服务在高龄孕产妇中的合理应用可以有效缓解孕产妇产后的并发症发生率,确保母婴安全及健康,值得推广。 Objective To analyze the clinical value of prenatal care (PC) services during gestation and childbirth in older mothers. Methods Clinical data of 98 elderly pregnant women were analyzed. According to the presence or absence of PC services, 50 cases were divided into observation group (receiving antenatal care and examination service) and control group (48 cases) General information about two groups of pregnant women, pregnancy outcome (including spontaneous labor, occurrence of dystocia, cesarean section rate, neonatal Apgar score and stillbirth rate), complications (including postpartum hemorrhage in pregnant women, premature birth and premature rupture of membranes) And fetal and pregnant women’s body mass situation. Results There was no significant difference in the general data of two groups of pregnant women (P> 0.05). In the observation group, the cesarean section rate was 28.0%, the stillbirth rate was 0.0% and the refractory rate was 10.0%, which was significantly lower than that of the control group (54.2%, 8.3%, 52.1%), while the natural delivery rate was 72.0% ± 1.2), which was significantly higher than that of the control group (45.8%, 8.2 ± 0.9). The differences were statistically significant (P <0.05). The incidence of maternal and neonatal complication in the observation group was 6.0% and 2.0%, which was significantly lower than that of the control group (27.1% and 16.7%), both of which were statistically significant (P <0.05). There was no significant difference in body mass between the two groups before pregnancy (P> 0.05). The body weight of fetuses and pregnant women during pregnancy increased significantly in the observation group compared with that in the control group (P <0.01) ). Conclusion The rational application of PC service in elderly pregnant women can effectively alleviate the incidence of postpartum complications and ensure the safety and health of mothers and babies, which is worthy of promotion.