CAJ | 학술논문

目的探讨孕41周引产对母儿的影响.方法对孕41～42周、无妊娠合并症及胎儿体质量异常的孕妇,按临产与否分为自然临产组158例,引产组112例,对两组孕妇的剖宫产率、产后出血率、羊水Ⅲ度污染率、新生儿窒息率、围生儿死亡率进行回顾性分析.结果引产组剖宫产率(37.5%)明显高于自然临产组(25.3%).两组产后出血率、羊水Ⅲ度污染和新生儿窒息率、围生儿死亡率差异均无统计学意义(均P＞0.05).结论对孕41周孕妇进行引产可增加剖宫产率,不宜常规进行.
목적 탐토잉41주인산대모인적영향.방법 대잉41～42주、무임신합병증급태인체질량이상적잉부,안임산여부분위자연임산조158례,인산조112례,대량조잉부적부궁산솔、산후출혈솔、양수Ⅲ도오염솔、신생인질식솔、위생인사망솔진행회고성분석.결과 인산조부궁산솔(37.5%)명현고우자연임산조(25.3%).량조산후출혈솔、양수Ⅲ도오염화신생인질식솔、위생인사망솔차이균무통계학의의(균P＞0.05).결론 대잉41주잉부진행인산가증가부궁산솔,불의상규진행.
Objective To explore the influence to maternal and fetal which induced labor at 41 weeks of gestation.Methods Select all the patients without pregnancy complicatious and dysponderal fetus in the year of 2008 who delivered in our hospital over a period from 41 to 42 weeks of gestation.Distinguish all the patients for two groups,according to whether be in labor naturally or not.Take a retrospective analysis of uterine-incision delivery rate、postpartum hemorrhage rate、apnoea-neonatorum rate、severe contamination rate of amniotic fluid and perinatal mortality rate about this two groupe.Results The uterine-incision delivery rate of the group accepted induced labor (37.5%) is obviously higher than the other one (25.3%)(P＜0.05).And the rest indicatrixes have no significant discrepancy between the two groups (all P＞0.05).Conclusion Routine induction of labor is not appropriate hecause of higher uterine-incision delivery rate.