延期妊娠引产对母儿结局的影响

目的:探讨引产对延期妊娠母儿结局的影响.方法:回顾性分析延期妊娠孕妇437例,其中引产组276例,自然临产组16l例.结果:①引产组的剖宫产率、平均住院日明显高于自然临产组,差异有统计学意义(P<0.05);②引产组和自然临产组的产后出血发生率、产褥病率、产时损伤发生率比较差异无统计学意义(P>0.05);③羊水Ⅲ度粪染发生率、新生儿窒息发生率两组比较差异有统计学意义(P<0.05).结论:对延期妊娠孕妇是否进行引产,需进行综合评价,选择适合孕妇的期待或引产方案.

Induction of Labour on Maternal-Neonatal Outcomes in Prolonged Pregnancy

Objective:To investigate the maternal-neonatal outcomes associated with induction of labour in prolonged pregnancy. Methods: 437 women in prolonged pregnancy were reviewed retrospectively, including 276 women undergoing induced labor and 161 women undergoing spontaneous labor. Results:①The caesarean section rate and average hospitalization time in the induction group was significantly higher than that in spontaneous group(P<0.05). ②No statistically significant difference was observed between induction group and spontaneous group in the rate of postpartum hemorrhage, puerperal morbidity and intrapartum trauma (P>0.05). ③There was significant difference in the incidence of Ⅲ degree meconium-stain of the amniotic fluid, and neonatal asphyxia(P<0.05). Conclusions:Induction of labor in prolonged pregnancy will increases the rates of caesarean section, the incidence rate of HI degree meconium-stain of the amniotic fluid, and neonatal asphyxia.