晚期妊娠合并羊水过少100例胎心监测分析

目的分析晚期妊娠合并羊水过少的胎心监测结果，并探讨其对妊娠结局的影响。方法选择2010年1月-2011年6月在我院进行分娩的晚期妊娠合并羊水过少的孕妇100例，对其进行胎心监护，分析胎心监护的结果，并分析其与母婴结局的关系。并与同期在我院进行分娩的非羊水过少孕妇的妊娠结局进行比较。结果随着波形分类级别的增加，羊水粪染Ⅱ～Ⅲ度的比例逐渐增加，剖宫产率也逐渐增加，新生儿阿氏评分〈7分的比例逐渐增加。羊水过少组胎儿宫内窘迫发生率、新生儿窒息率、剖宫产率、过期妊娠率及妊高征率均高于非羊水过少组（P〈0．01）。结论对晚期妊娠合并羊水过少的孕妇进行胎心监测，可以及早发现胎儿宫内窘迫，从而能够及时采取措施以减少不良妊娠结局的发生率。

Fetal heart monitoring for late pregnancy with oligohydramnios:an analysis of 100 cases

Objective To analyze the results of fetal heart monitoring of late pregnancy with oligohydramnios,and to discuss the effect of late pregnancy with hypamnion on pregnancy outcome.Methods One hundred cases with late pregnancy with hypamnion from Jan 2010 to Jun 2011 received fetal heart monitoring.The results of fetal heart monitoring were analyzed,and the pregnancy outcome was compared with non-oligohydramnios pregnant woman who labored in our hospital during the same time.Results Along with the increase of the waveform category,the rate of meconium-staining amniotic fluid Ⅱ-Ⅲ degree was increased;Cesarean rate was increased;The rate of Apgar scoring <7 was increased.Hypamnion group intrauterine fetal distress incidence,neonatal suffocation rate,cesarean rate,expired pregnancy rates and pregnancy induced hypertension rate were higher than non-hypamnion group(P < 0.01).Conclusion Fetal heart monitoring for late pregnancy with oligohydramnios can discover intrauterine fetal distress as soon as possible,thus take action to reduce hazardous pregnancy outcome rate.