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目的探讨延期妊娠引产方法的安全性以及围生儿结局。方法收集2012.01―2014.01期间在我院住院分娩的271例延期妊娠孕妇的临床资料进行回顾性分析,其中169例未临产、羊水指数>5cm给予引产孕妇为研究组,102例自然临产为对照组。结果研究组羊水粪染率及剖宫产率高于对照组,差异有统计学意义(P<0.05);两组胎儿窘迫、产后出血发生率、新生儿窒息率比较无统计学意义(P>0.05)。结论对于延期妊娠无需积极过早干预,但是应充分评估胎儿宫内情况,密切观察母儿情况,可选择合适时机给予最佳引产方法,确保母婴安全,尽可能减少过期妊娠的发生,促进自然分娩。
Objective To explore the safety of induction of labor during delaying pregnancy and the outcome of perinatal infants. Methods The clinical data of 271 postpartum pregnant women who were admitted to our hospital during 2012.01-2014.01 were retrospectively analyzed. Among them, 169 were non-labor-induced, amniotic fluid index> 5cm was given to pregnant women as experimental group and 102 were natural abortion as control group. Results The rates of amniotic fluid and cesarean section in the study group were higher than those in the control group (P <0.05). There was no significant difference in fetal distress, postpartum hemorrhage rate and neonatal asphyxia between the two groups (P> 0.05). Conclusions There is no need for positive premature intervention for postponement of pregnancy. However, intrauterine conditions should be fully assessed and maternal and child status closely monitored. Optimal induction of labor should be given at the right time to ensure the safety of mother and baby, minimize the occurrence of overdue pregnancy and promote natural childbirth.