死胎50例临床分析

目的探讨死胎的病因与处理,以制定可行的防治措施。方法采用回顾性分析方法对2001年6月~2005年6月间50例死胎原因及处理进行分析。结果死胎最常见的原因为脐带因素及产科并发症,10%~20%的死胎原因不明。除5例严重并发症危及母体生命者行剖宫产外,其余的死胎均自阴道排出,引产者约占70%,随诊20例中,12例再次妊娠均分娩健康婴儿。结论作好孕期监测及高危妊娠管理可有效减少死胎的发生率,胎儿死亡后应尽快促使其排出,无特殊情况尽量避免行剖宫产。有死胎史的孕妇在严密监测与指导下仍有可能正常分娩。

50 Cases of Clinical Analysis on Dead Born

Objective To find out a practical measure for prevention and management of dead born. Methods The causes and management of 50 cases of dead born were analyzed which occured from June 1998 to June 2002. in the same period. Results The most common causes were umbilical and PIH. However, causes about 10%--20 % remained unknown. Besides using cesarean section as a rescure measure for the maternal reason. In the 5 cases dead fetuses were expelled vaginally in the rest. Among 20 cases which were followed up, 12 women have pregnancy again. Conclusion Close monitoring during pregnancy and propcr mangcmcnt of high risk pregnancy could reduce the incidence of dead born effectively. Dead fetus should be expelled in time. Under close monitoring and guidance, pregnant women with a history of fetal death could also have normal delivery in the future.