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[过期妊娠临床管理的探索]

[Exploration of the clinical management of prolonged pregnancy].

作者信息

Bian X

机构信息

PUMC Hospital, Beijing.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1990 Apr;12(2):137-41.

PMID:2143114
Abstract

This study was designed to address the effect of induced labor using pitocin iv drip in decreasing the incidence of perinatal complications and perinatal mortality of prolonged pregnancy. Induced labor was used in a study group which included 126 prolonged pregnant nullipara without complication. One hundred and twenty-eight prolonged pregnant nullipara in natural labor were defined as the control group. The perinatal mortality was 0 in the study group and 3.125% in the control. Also, the asphyxia rate was 8.7% in the study group and 13.3% in the control. The percentage of caesarean deliveries was the same in the both groups. The results of this study suggest that induced labor is safe, effective and practical in the management of prolonged pregnancies.

摘要

本研究旨在探讨静脉滴注缩宫素引产对降低过期妊娠围产期并发症发生率及围产儿死亡率的影响。研究组为126例无并发症的过期妊娠初产妇,采用引产。128例自然分娩的过期妊娠初产妇作为对照组。研究组围产儿死亡率为0,对照组为3.125%。此外,研究组窒息率为8.7%,对照组为13.3%。两组剖宫产率相同。本研究结果表明,引产在过期妊娠的处理中是安全、有效且实用的。

相似文献

1
[Exploration of the clinical management of prolonged pregnancy].[过期妊娠临床管理的探索]
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1990 Apr;12(2):137-41.
2
Asphyxia of the newborn in east, central and southern Africa.东非、中非和南非的新生儿窒息情况
East Afr Med J. 1993 Jul;70(7):422-33.
3
Perinatal asphyxia: multivariate analysis of risk factors in hospital births.围产期窒息:医院分娩中危险因素的多因素分析
Indian Pediatr. 1997 Mar;34(3):206-12.
4
A clinical trial of induction of labor versus expectant management in postterm pregnancy. The National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units.过期妊娠引产与期待治疗的临床试验。美国国立儿童健康与人类发展研究所母胎医学单位网络。
Am J Obstet Gynecol. 1994 Mar;170(3):716-23.
5
Induction of labor with misoprostol in pregnancies with advanced maternal age.米索前列醇用于高龄孕妇引产。
Eur J Obstet Gynecol Reprod Biol. 2006 Dec;129(2):140-4. doi: 10.1016/j.ejogrb.2005.11.040. Epub 2006 Jan 6.
6
Management of prolonged pregnancy.过期妊娠的管理
J Coll Physicians Surg Pak. 2004 May;14(5):274-7.
7
Post-term pregnancy. I.过期妊娠。一。
Obstet Gynecol. 1980 Oct;56(4):467-70.
8
Fetal surveillance vs. labor induction at 42 weeks in postterm gestation.过期妊娠42周时的胎儿监护与引产
J Reprod Med. 1988 Mar;33(3):262-70.
9
[Labor induction using simultaneous amniotomy and oxytocin infusion].
Ned Tijdschr Geneeskd. 1980 Jun 7;124(23):913-9.
10
The usefulness of ultrasound assessment of amniotic fluid in predicting adverse outcome in prolonged pregnancy: a prospective blinded observational study.超声评估羊水在预测过期妊娠不良结局中的作用:一项前瞻性盲法观察性研究。
BJOG. 2003 Nov;110(11):989-94.

引用本文的文献

1
Elective induction for pregnancies at or beyond 41 weeks of gestation and its impact on stillbirths: a systematic review with meta-analysis.选择性诱导妊娠 41 周及以上及其对死胎的影响:系统评价与荟萃分析。
BMC Public Health. 2011 Apr 13;11 Suppl 3(Suppl 3):S5. doi: 10.1186/1471-2458-11-S3-S5.