高龄孕妇的孕期管理

近年来,高龄孕产妇人数快速增长,随之而来的是孕产妇及新生儿发病率与死亡率增高。明确高龄孕产妇所存在的风险,完善孕前咨询评估,加强出生缺陷的筛查、诊断,加强对凶险性前置胎盘的管理,加强剖宫产术后阴道分娩(VBAC)的管理,是保障高龄孕产妇健康,降低出生缺陷儿发生率,提高产科质量的关键。

Management of pregnant women at advanced maternal age.

Abstract：In recent years，the number of pregnant women at advanced maternal age has increased very quickly，followed by the increase of maternal and neonatal morbidity and mortality.It is the key to guaranteeing these womens health，decreasing incidence of birth defects and improving obstetrical quality to perfect pre-pregnant consultation and evaluate the risk in gestation period，strengthen the screening and diagnosis of birth defects in early pregnancy，strengthen the management of catastrophe placenta previa and vaginal birth after cesarean section（VBAC）in whole pregnancy.