早发型重度子痫前期不同分娩方式与妊娠结局关系

目的:探讨早发型重度子痫前期不同分娩方式与母儿结局关系。方法:采用回顾性非随机病例对照研究的方法,分析2010年6月至2012年6月武汉大学人民医院收治139例早发型重度子痫前期不宜期待的患者临床资料,按终止妊娠方式分为两组,A组COOK球囊促宫颈成熟并引产经阴道分娩,B组选择性剖宫产。比较两组间母儿预后情况,包括围生儿结局和母亲严重并发症的发生情况。结果:139例早发型重度子痫前期中A组41例选择引产后39例阴道分娩,B组98例未经阴道试产选择性剖宫产。两组新生儿窒息发生率、新生儿死亡率,孕妇并发症发生率无明显差异,产后出血率、差异有显著性。结论:早发型重度子痫前期引产后阴道分娩没有增加母婴并发症的发生率,而产后出血率及住院费用下降。选择COOK球囊促宫颈成熟并引产后经阴道分娩是可行的。

Maternal and Neonatal Outcomes of Early Onset Severe Preeclampsia Patients with Different Route of Delivery

Objective:To assess the differences in maternal and neonatal outcomes among the early onset severe preeclampsia patients with different route of delivery.Methods:We conducted a cross-sect ional study on 139 cases with early onset severe preeclampsia from June,2010 to June,2012 in Rennin Hospital of Wuhan University.The patients were divided into two groups,and 41 cases in group A underwent induction of labor with COOK double balloon dilation,while 98 cases in group B underwent cesarean delivery.The differences in maternal and neonatal outcomes were compared between the two groups.Results;Vaginal delivery was successful in 39 cases of the 41 patients underwent induction of labor.Induction of labor was not associated with adverse maternal and neonatal outcomes,but contributed to a decrease in postpartum hemorrhage rate and inhospital expense.Conclusion:Maternal and neonatal outcomes are not worsened by induction of labor, meanwhile,the postpartum hemorrhage rate and in-hospital expense are less by induction of labor,so it' s feasible to induct labor with COOK double balloon dilation in severe preeclampsia.