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经产妇的妊娠与分娩(对203例患者的回顾性研究)(作者译)

[Pregnancy and parturition in multiparae (retrospective study in 203 patients) (author's transl)].

作者信息

Meier E B, Limacher F

出版信息

Geburtshilfe Frauenheilkd. 1979 Apr;39(4):324-7.

PMID:437474
Abstract

It is a well-known fact that pregnancy and parturition, as well as the post-partum period and puerperium, present special problems in multiparae. Hence, we compared 203 of our multiparae with the total group of 3251 parturients in respect of these parameters in a retrospective study. The results were as follows: Pregnancy of multiparae is characterized by an increased incidence of monosymptomatic or polysymptomatic EPH gestosis and by diabetes mellitus. In multiparae it was considerably less often necessary to induce labour than with the other parturients. There was in increased incidence of premature rupture, meconium-stained fluid, funicular complications, vagino-operative birth and delivery in sectio. Reduced desire to nurse the baby was significant sign in multiparae. There was also a significant increase in stillbirths and in the delivery of children with a birth weight of more than 4000 g. There was no increased incidence of monstrosities.

摘要

众所周知,妊娠、分娩以及产后时期和产褥期在经产妇中会出现特殊问题。因此,在一项回顾性研究中,我们将203名经产妇与3251名产妇的总群体就这些参数进行了比较。结果如下:经产妇的妊娠特点是单症状或多症状妊娠高血压综合征的发病率增加以及糖尿病。与其他产妇相比,经产妇引产的必要性要少得多。胎膜早破、羊水粪染、脐带并发症、阴道助产分娩和剖宫产的发生率有所增加。经产妇中减少的母乳喂养意愿是一个显著迹象。死产以及出生体重超过4000克的儿童分娩也显著增加。畸形的发生率没有增加。

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