当前产科实践中的多产问题。

The problem of grandmultiparity in current obstetric practice.

作者信息

Mwambingu F T, Al Meshari A A, Akiel A

机构信息

Department of Obstetrics and Gynaecology, King Abdul Aziz University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Int J Gynaecol Obstet. 1988 Jun;26(3):355-9. doi: 10.1016/0020-7292(88)90329-3.

DOI:10.1016/0020-7292(88)90329-3

PMID:2900162

Abstract

A retrospective analysis of 646 Arab grandmultiparas who booked for hospital confinement between 1983 and 1985 was carried out. The results were compared with that of non-grandmultiparas during the same period. In the grandmultiparas, the incidences of gestational diabetes, hypertension rheumatic heart disease, antepartum, postpartum hemorrhage and macrosomic infants were increased. However, contrary to some previous reports the incidences of anemia, cesarean sections, induced labor, dysmaturity and perinatal deaths were decreased. This is thought to be due to the provision of modern specialist perinatal care and improved socioeconomic standards.

摘要

对1983年至1985年间登记住院分娩的646名阿拉伯多产妇进行了回顾性分析。将结果与同期非多产妇的结果进行了比较。在多产妇中，妊娠期糖尿病、高血压、风湿性心脏病、产前和产后出血以及巨大儿的发生率有所增加。然而，与之前的一些报道相反，贫血、剖宫产、引产、胎儿发育不全和围产期死亡的发生率有所下降。这被认为是由于提供了现代专科围产期护理以及社会经济标准的提高。