高龄初产妇与高龄经产妇的妊娠结局分析

2020年10月27日发(作者：蒙春辉)
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高龄初产妇与高龄经产妇的妊娠结局分析

作者：倪 琴

来源：《中国现代医生》2010年第02期

[摘要] 目的 探讨高龄初产妇与高龄经产妇对妊娠、分娩及胎儿结局的影响。方法 对我院
2004年1月～2008年12月5年间住院分娩的高龄产妇730例进行回顾性分析。结果 13461例
产妇中高龄初产妇81例,发生率0.60%,高龄经产妇649例,发生率4.82%。 在胎儿窘迫、妊娠合
并子宫肌瘤和早产方面差异有统计学意义(P0.05);高龄初产妇剖宫产率明显 高于高龄经产妇,差
异有非常显著性意义(P
[关键词] 高龄初产;高龄经产;高危因素
[中图分类号] R714.3 [文献标识码] A[文章编号] 1673-9701(2010)02-140-02

Analysis on Pregnant Outcome of Elderly Primiparas and Experienced Parturients
NI Qin
Shunyi Maternal and Child Care Hospital,Beijing 101300

[Abstract] Objective To study the influence of eldly primiparae and pluriparas on
pregnancy,deliery and prognosis. Methods The clinical data of elderly lying-in women in our hospital
from Feb 2004 to Dec 2008 were retrospectively analyzed. Results 81 elder lying- in women were
found in 13461 pregnant women with incidence of 0.60%,and there were 649 elder multiparous lying-
in women with incidence of 4.82%. Significant difference was found between elder primiparous and
multiparous lying-in women on fetal distress,gesmtional myoma of uterus and premature
delivery(P0.05);Cesarean section rate of eldly primiparae was much higher than that of eldly
pluriparas(P
[Key words] Elderly primiparous woman;Elderly multiparous woman;High risk factor

由于 晚婚晚育的影响及离婚、再婚的增加,再加上我区外来打工人员增加,高龄初产妇和高
龄经产妇呈逐年增 多的趋势,其妊娠分娩中的并发症及母儿预后已引起医师及社会关注,两者在
妊娠结局上各有高危因素。 2004年1月～2008年12月5年间在我院住院分娩的总计13 461例,
现对其中住院分娩的 高龄产妇及其新生儿进行回顾性分析,为指导临床提供依据,并报道如下。