深圳市宝安区1020例高龄初产妇妊娠及分娩情况分析

目的:探讨高龄初产情况及其对妊娠状态、分娩及围产儿的影响。方法:回顾性分析宝安区2006～2008年1020例高龄初产妇的分娩资料,并与同期分娩的非高龄初产妇进行对照研究,比较二组间初产率、妊娠合并症与并发症、分娩方式及妊娠结局的差异。结果:3年平均高龄初产率为1.35%,呈逐年略上升趋势;户籍人口的高龄初产率为4.7%,显著高于非户籍人口(P0.000)。与非高龄初产组比较,高龄初产组在分娩孕周、分娩出血量、合并症与并发症的发生率、剖宫产率的差异有统计学意义(P0.000);高龄初产组妊娠期高血压疾病、妊娠合并糖尿病、产后出血、早产的发生率均高于非高龄初产组,且差异有统计学意义(P0.05);二组在新生儿窒息发生率、出生体格指征、性别、围产儿转归的差异无统计学意义(P0.05);高龄初产组出生缺陷发生率为25.5‰,高于非高龄初产组,差异有统计学意义(P=0.014)。结论:高龄初产妇的妊娠合并症与并发症明显增多,剖宫产率增高,出生缺陷率增高,应加强高龄初产妇的围产期保健,确保母婴安全。

Analysis on gestation and childbirth status of 1 020 elderly primiparous women in Baoan District, Shenzhen

Objective:To explore the effect of elderly primiparous women on gestation status,childbirth and perinatal infants.Methods:Clinical data of 1 020 elderly primiparous women in Baoan District from 2006 to 2008 were analyzed retrospectively,young primiparous women during the same period were selected as control group,the primiparity rates,pregnancy complications,delivery modes and pregnancy outcomes were compared between the two groups.Results:The average primiparity rate during 3 years was 1.35%,showing a incr...