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目的:探究足月妊娠羊水过少对母婴的影响,寻找最佳分娩方式。方法:选择2011年5月~2012年10月间入院分娩的足月妊娠羊水过少的产妇176例,并随机选取同期入院生产的羊水正常产妇180例,2组患者年龄、孕产次、孕周等方面差异不具有统计学意义,回顾性分析2组患者的临床资料。结果:羊水过少组剖宫产148例(84.09%),羊水正常组剖宫产62例(34.44%),羊水过少组剖宫产率明显高于羊水正常组;羊水过少组在羊水粪染、胎儿窘迫、新生儿窒息等方面的发生率显著高于羊水正常组。结论:在孕晚期加强B超检查,重视产妇羊水过少的异常表现,在产程中密切监护,适时剖宫产可减少新生儿窒息率。
Aims: To investigate the effect of oligohydramnios in term pregnancy on mothers and babies, to find out the best mode of delivery. Methods: A total of 176 maternal oligohydramnios were selected from May 2011 to October 2012. 180 cases of normal amniotic fluid were randomly selected in the hospital during the same period. The age, Weeks and other differences did not have statistical significance, retrospective analysis of two groups of patients with clinical data. Results: 148 cases (84.09%) had cesarean section in oligohydramnios group, 62 cases (34.44%) had cesarean section in amniotic fluid normal group. The rate of cesarean section in oligohydramnios group was significantly higher than that in normal amniotic fluid group. Meconium, fetal distress, neonatal asphyxia and other aspects of the incidence was significantly higher than the amniotic fluid normal group. CONCLUSIONS: In the third trimester of pregnancy, B-ultrasound examination is emphasized, the abnormal expression of oligohydramnios in the mothers is paid attention to, and intensive monitoring in the labor process. Cesarean section reduction can reduce neonatal asphyxia.