高龄初产对妊娠结局的影响

目的探讨高龄初产妇对妊娠结局的影响。方法对2009年1月至2011年9月收治的高龄初产妇的妊娠并发症发生率、分娩方式及围生儿情况等进行回顾性分析。结果观察组剖宫产率为90.91%,明显高于对照组的43.64%;产妇妊娠期合并高血压及糖尿病的例数观察组明显高于对照组,差异有统计学意义(P<0.05);而产妇巨大儿及胎盘早剥发生率两组无统计学意义(P>0.05);胎儿宫内窘迫发生率对照组高于观察组,差异有统计学意义(P<0.05);胎膜早破、早产儿、产后出血发生率观察组高于对照组,差异有统计学意义(P<0.05)。结论高龄初产妇妊娠合并症和并发症的发生率明显高于非高龄初产妇,因此应加强高龄孕产妇的围产期保健,预防妊娠并发症,合理控制剖宫产率,以确保母婴安全与健康。

Primiparous age effects on pregnancy outcome

Objective To investigate the early maternal age on pregnancy outcome.Methods The hospital in January 2009-September 2011 elderly primipara admitted to the incidence of pregnancy complications,mode of delivery and perinatal conditions and other children were analyzed retrospectively.Results The cesarean section rate was 90.91%,significantly higher than 43.64%;Maternal gestational hypertension and diabetes was significantly higher than the observed number of cases,the difference was significant(P<0.05).And maternal great children and the incidence of placental abruption between the two groups was not statistically significant(P>0.05);The incidence of fetal distress group was higher than observed in control group,the difference was significant(P<0.05);Membranes early break,premature children,the incidence of postpartum hemorrhage study group was higher,the difference was significant(P<0.05).Conclusions The elderly primipara pregnancy complications and the incidence of complications was significantly higher than non-elderly primipara,should be strengthened old maternal perinatal care,prevention of pregnancy complications,cesarean section rate reasonable control to ensure that safety and health of maternal and child.