先兆子痫92例妊娠结局分析

目的　探讨终止妊娠的时间和方式对先兆子痫妊娠结局的影晌。方法　对 92例先兆子痫病例进行回顾性分析。结局　 92例患者中利凡诺、水囊引产 19例 ,阴道自然分娩 6例 ,剖宫产 67例 ,剖宫产率 72 .8%。无孕产妇死亡。所有孕产妇均痊愈出院。孕 3 4周后终止妊娠的新生儿窒息率和围产儿死亡率明显低于孕 3 4周前终止妊娠者 ,3 6周以上剖宫产的新生儿窒息率低于阴道分娩者。结论　对于孕周已达 3 4周以上的先兆子痫患者 ,经促胎肺成熟治疗后即可终止妊娠 ,剖宫产是先兆子痫终止妊娠的重要措施。但并非唯一措施

Analysis of Pregnancy outcome for 92 cases preeclampsia

Objective To investigate the relationship between the time and method of pregnancy termination and the pregnancy outcome of preeclampsia.Methods Ninety-two pregnant women suffered from preeclampsia were enrolled for the studyResults The three methods of pregnancy termination were induction of labor(Rivonol or water bag)(n=19),spontaneous delivery(n=6),ceaserean section(n=67), the rate of the eeaserean section was 72.9%. There are no maternal death .The rates of neonatal asphyxia and perimatal mortality which pregnancy terminated before 34th gestational weeks were higher than those after 34th gestational weeks. The rate of the neonatal asphyxia in ceaserean section after 36th gestational weeks were lower than those in vaginal delivery.Conclusions After accelerating fetal lung maturity therepy,pergnany should be terminated after 34 gestational weeks.And ceaserean section is the first choice ,but is not the only choice.