Kaplan B, Goldman G A, Peled Y, Hecht-Resnick R, Neri A, Ovadia J
Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah-Tiqva, Israel.
J Perinat Med. 1995;23(3):183-9. doi: 10.1515/jpme.1995.23.3.183.
The aim of this study was to evaluate whether prolonged pregnancy was associated with dangers to the fetus, and to assess the incidence of cesarean section as well as fetal distress. The outcome for mother and baby in both groups of patients with post-term pregnancies was generally good. Furthermore, the improvement of prognosis for postdate pregnancy is due to the availability of electronic fetal monitoring and ultrasound, making possible the identification of fetal distress, as well as the use of prostaglandin to ripen a stubborn cervix, and induce labor successfully in most cases. Consequently, we feel that fetal jeopardy with continued intrauterine existence, as well as the excellent results of induction of labor, justify the active approach. The routine induction of labor in postdate pregnancy may reduce perinatal morbidity, as indicated in previous reports [2], and confirmed in this study.
本研究的目的是评估过期妊娠是否会给胎儿带来危险，并评估剖宫产的发生率以及胎儿窘迫情况。两组过期妊娠患者的母婴结局总体良好。此外，过期妊娠预后的改善归因于电子胎儿监护和超声检查的应用，这使得识别胎儿窘迫成为可能，同时还使用了前列腺素使坚硬的宫颈成熟，并在大多数情况下成功引产。因此，我们认为胎儿持续宫内存在面临的危险以及引产的良好效果证明了采取积极措施的合理性。如先前报告[2]所示并在本研究中得到证实，过期妊娠常规引产可能会降低围产期发病率。
