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目的 :探讨过期妊娠的危害与正确处理方法 ,降低围产儿病死率 ,提高产科质量。方法 :本文对一组 2 93例过期妊娠病例作回顾性总结分析。结果 :过期妊娠的手术产率和产后出血、胎儿宫内窘迫、新生儿窒息等均高于足月妊娠组 ,有显著性差异 ,胎盘Ⅲ级、羊水过少者围产儿病率更高。过期妊娠经及时正确诊断与积极处理 ,疗效满意。结论 :对于过期妊娠应予以重视 ,认真做好产前监护 ,酌情及时终止妊娠 ;根据宫颈成熟度作好分娩计划 ,可采取促宫颈成熟措施 ,并结合阴道检查决定是否可经阴道分娩 ;对于引产失败、胎儿宫内窘迫、羊水少而有胎粪污染或无羊水应及时进行剖宫产术。
Objective: To explore the hazards and correct treatment of overdue pregnancy, reduce perinatal mortality and improve obstetric quality. Methods: A retrospective summary analysis of a group of 2 93 cases of obstetric pregnancy. Results: The surgical yield and postpartum hemorrhage, fetal distress and neonatal asphyxia in obese pregnancy were significantly higher than those in term pregnancy. The placenta grade Ⅲ and oligohydramnios had a higher prevalence of perinatal infection. Outdated pregnancy by timely and correct diagnosis and active treatment, the effect is satisfactory. Conclusion: Obstetrics and gynecology should pay attention to obstetric pregnancy, do prenatal care conscientiously, and terminate the pregnancy as appropriate. According to the maturity of cervix to make delivery plan, we can take measures to promote cervical ripening, combined with vaginal examination to determine whether vaginal delivery; for induced labor Failed, fetal distress, oligohydramnios melatonin contamination or no amniotic fluid should be timely cesarean section.