40岁以上妇女妊娠结局分析

目的 了解４０岁以上高龄妇女的妊娠及其对分娩的影响。方法 对９３例４０岁以上孕妇（观察组）进行了回顾性与同期分娩的３０岁以下孕妇１８６例（对照组）作对照分析。结果 观察组妊娠合并子宫肌瘤、盆腔子宫内划位症及心脏病发生率（分别为１ ２．９％￣１２．９％及１０．８％）显著高于对照组，其妊娠高综合征、前肋及产后出血发生率（分别为３１．２％、８．６％及１９．４％）显著 对照组。观察组剖（９３．６％）及择期

Pregnancy Outcome in Women Aged 40 or Older

Objective To study the influence of pregnancy in women aged 40 or older on delivery. Methods A retrospective cohort study, including 93 cases of pregnant women aged 40 or older and 186 controls at age less than 30, was conducted. Results The rate of pregnancy with uterus myoma, pelvic endometriosis, heart diseases, pregnancy induced hypertension, placenta previa and postpartum hemorrhage in the study group were significantly higher than the control group(12 9%,12 9%,10 8%,31 2%,8 6% and 19 4%, respectively)( P<0.005 ). The rate of cesarean delivery (93.6%) and selected cesarean section(92.0%) in pregnant women aged 40 or older was significantly higher than that of control group ( P<0.05 ) No significant differnces was shown in the neonatal asphyxia rate and neonatal mortality between the two groups( P>0.05 ) Conclusion The incidence of pregnant complications and cesarean section rate were higher in women aged 40 or older. More perinatal care should de done for these pregnant women.