前置胎盘的危险因素及其对妊娠结局的影响

目的:探讨前置胎盘发病的危险因素及其对妊娠结局的影响。方法:采用病例对照的研究方法,选择72例前置胎盘孕产妇为病例组,随机抽取同期80例正常孕产妇作为对照组,比较两组的临床资料、妊娠结局,评价前置胎盘组的危险因素。结果:前置胎盘的高危因素包括高龄、文化程度较低、胎次多、流产史、盆腔炎、瘢痕子宫等;前置胎盘易导致胎盘粘连、产后出血、早产、1 min Apgar评分下降、低出生体重。结论:前置胎盘发病是单个或者多个因素所致,防治前置胎盘要严格落实计划生育政策,加强孕产妇管理,做到早筛查、早诊断和早治疗。

Risk factors of placenta praevia and its impact on pregnancy outcome

Objective:To explore the risk factors of placenta praevia and its impact on pregnancy outcome.Methods:A case-control study was conducted,72 pregnant women with placenta praevia were selected as case group,and 80 normal pregnant women were randomly selected as control group during the same period;the clinical data and pregnancy outcomes in the two groups were compared,the risk factors of placenta paevia were evaluated.Results:The high risk factors of placenta paevia included advanced age,low educational level,parity,history of abortion,pelvic inflammatory disease,scarred uterus,and so on;placenta praevia was liable to induce placental adhesion,postpartum hemorrhage,premature delivery,decrease of one minute Apgar score,and low birth weight.Conclusion:The onset of placenta praevia is induced by single or multiple factors,the measures to prevent and treat placenta praevia include implementing family planning policy strictly,enhancing maternal management,and ensuring early screening,early diagnosis,and early treatment.