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目的 了解 40岁以上高龄妇女的妊娠及其对分娩的影响。 方法 对 93例 40岁以上孕妇 (观察组 )进行了回顾性分析并与同期分娩的 30岁以下孕妇 186例 (对照组 )作对照分析。 结果 观察组妊娠合并子宫肌瘤、盆腔子宫内膜异位症及心脏病发生率 (分别为 12 .9%、12 .9%及 10 .8% )显著高于对照组 (P<0 .0 0 5 ) ;其妊娠高血压综合征、前置胎盘及产后出血发生率 (分别为 31.2 %、8.6 %及19.4% )显著高于对照组 (P<0 .0 0 5 )。观察组剖宫产 (93.6 % )及择期剖宫产率 (92 .0 % )较对照组 (分别为 2 8.0 %、5 0 .0 % )明显增加 ,两组间差异有极显著性 (P<0 .0 0 5 )。观察组新生儿出生体重低于对照组 (P<0 .0 5 ) ,两组新生儿窒息、围产儿死亡率差异无显著性 (P>0 .0 5 )。 结论 40岁以上孕妇的妊娠合并症和并发症明显增多 ,剖宫产率高 ,应加强围产保健。
Objectives To understand the pregnancy and its effects on delivery in women over 40 years of age. Methods Ninety-three pregnant women over 40 years old (observation group) were retrospectively analyzed and compared with 186 pregnant women under the age of 30 who delivered at the same period (control group). Results The incidence of pregnancy complicated with uterine fibroids, pelvic endometriosis and heart disease (12.9%, 12.9% and 10.8% respectively) in observation group was significantly higher than that in control group (P <0. 0 The incidence of pregnancy-induced hypertension, placenta previa and postpartum hemorrhage (31.2%, 8.6% and 19.4%, respectively) was significantly higher than that of the control group (P <0.05). The rate of cesarean section (93.6%) and elective cesarean section (92.0%) in the observation group was significantly higher than that in the control group (28.0% and 50.0%, respectively), with significant difference between the two groups <0 0 0 5). The birth weight of neonates in the observation group was lower than that of the control group (P <0.05). There was no significant difference in neonatal asphyxia and perinatal mortality between the two groups (P> 0.05). Conclusion Pregnant women over the age of 40 have significantly increased complications and complications of pregnancy, cesarean section rate should be high, and perinatal care should be strengthened.