高龄初产妇妊娠与分娩结局的分析

目的：探讨高龄对产妇妊娠和分娩结局的影响。方法：采用回顾性对照研究，对1800例单胎产妇的临床资料进行分析，比较高龄初产组（≥35岁，n=120）和对照组（〈35岁，n=120）妊娠期合并症、分娩期期合并症分娩方式、并发症以及新生儿结局的差异。结果：高龄组妊娠期高血压疾病、妊娠期糖尿病、前置胎盘、胆於、贫血、早产、产后出血、胎膜早破的发病率均高于非高龄组（P〈0.05）；高龄初产妇组的剖宫产率80％明显高于非高龄组的40．8％（P〈0．05）结论：高龄初产妇妊娠期合并症、并发症增多，剖宫产率增加，高龄妊娠应加强围生期保健。

Pregnancy Outcome in Aged Primipara

Objctive： To investigated the primipara outcome in women aged35 or older. Methods： 1800 cases of newborn records of single gestations were analyzed by retrospective control study, primipara aged35 and older （ study group,n = 120） were compared with primipara aged younger than 35 （ control group,n =120）with respect to pregnancy complications,delivery complications,delivery modes and neonatal outcomes. Results：The rates of pregnancy induced hypertension, gestational diabetes,placenta previa, preterm labor, postpartum haemorrhage, premature rupture of membranes and anemia in study group were higher than those in control group （ P 〈 0. 05）. Aged primipara study group had higher rates of cesarean section（80%） than those in control group（40.8%） （ P〈 0.05） .Conclusion： Primipara aged 35 or older were at increased risk of pregnancy complications and cesarean section. Primipara 35 or older should be paid more attentions.