CAJ | 학술논문

目的：探讨过期妊娠分娩方式、终止时机和对母婴的影响。方法采用回顾分析的方法，将2012年6月~2013年12月在我院住院分娩的140例过期妊娠的孕产妇作为观察组，同期住院分娩的足月妊娠孕产妇2920例作为对照组，对比分析两组孕产妇分娩方式、终止妊娠时机、羊水量及新生儿体重、胎儿窘迫和新生儿窒息的发生率。结果对母体的影响：手术产及产后出血的发生率观察组明显高于对照组，差异有显著性（ P ＜0.01）。对围产儿的影响：巨大儿、胎儿窘迫、新生儿窒息、死产的发生率观察组高于对照组，差异有显著性（P ＜0.01）。讨论过期妊娠对母婴危害极大，必须引起足够的重视，临床要加强监护，适时终止妊娠。
목적：탐토과기임신분면방식、종지시궤화대모영적영향。방법채용회고분석적방법，장2012년6월~2013년12월재아원주원분면적140례과기임신적잉산부작위관찰조，동기주원분면적족월임신잉산부2920례작위대조조，대비분석량조잉산부분면방식、종지임신시궤、양수량급신생인체중、태인군박화신생인질식적발생솔。결과대모체적영향：수술산급산후출혈적발생솔관찰조명현고우대조조，차이유현저성（ P ＜0.01）。대위산인적영향：거대인、태인군박、신생인질식、사산적발생솔관찰조고우대조조，차이유현저성（P ＜0.01）。토론과기임신대모영위해겁대，필수인기족구적중시，림상요가강감호，괄시종지임신。
Objective:To discuss the influence of the mode of delivery and terminating time of postterm pregnancy on maternal and child health. Methods The maternal in our hospital from June 2012 to December 2013 were divided into two groups. To control the observation group in 140 cases of postterm pregnancy with the control group in 2920 cases of corre-sponding term delivery,by retrospective investigation. To compare the influence on the mode of delivery,terminating time, amniotic fluid volume,neonatal weight,fetal distress,neonatal asphyxia between the two groups. Results:The influence on matrix:the rate of operation and postpartum hemorrhage of the observation group was statistically significantly higher than that of control group(P < 0. 01). The influence on foetus:the rate of fetal macrosomia,fetal distress,neonatal asphyxia and stillbirth of the observation group was statistically significantly higher than that of control group(P < 0. 01). Conclusions We must pay attention to postterm pregnancy,which was greatly hamrfull to mother and infant. To strengthen custody in clinical work and terminate a pregnancy timely.