极高产次：它是一种风险吗？

Great grand multiparity: is it a risk?

作者信息

Abu-Heija A T, Chalabi H E

机构信息

Department of Obstetrics and Gynecology, Jordan University of Science and Technology, Irbid.

出版信息

Int J Gynaecol Obstet. 1997 Dec;59(3):213-6. doi: 10.1016/s0020-7292(97)00198-7.

DOI:10.1016/s0020-7292(97)00198-7

PMID:9486509

Abstract

OBJECTIVE

To compare antenatal and intrapartum complications incidence among women delivering for the 10th time or more and to compare this with those of low parity (para 2-5).

METHODS

The records of (154) women of great grand multipara (para > 10) were reviewed and compared with (308) women (para 2-5) delivered during the same period. Antepartum as well as intrapartum complications were compared, all occurring between 16 April 1994 and 15 January 1995.

RESULTS

Great grand multiparous women are older. The incidence of diabetes mellitus, chronic hypertension and preterm labor are similar to those with low parity, while they have higher incidences of pre-eclampsia (7.1% vs. 2.69%) and intrauterine fetal death (5.2 vs. 1.3%) P < 0.025. There were no differences in the incidences of placental abruption, placenta previa, malpresentation, postpartum hemorrhage and operative delivery between the two groups. Great grand multipara also have a higher incidence of macrosomia (12% vs. 12%) P < 0.0001.

CONCLUSION

Great grand multiparous woman are at increased risk of having pre-eclampsia, intrauterine fetal death and macrosomia.

摘要

目的

比较分娩10次及以上的女性产前和产时并发症的发生率，并与低产次（产次为2 - 5次）的女性进行比较。

方法

回顾了154例极高龄经产妇（产次>10次）的记录，并与同期分娩的308例（产次2 - 5次）女性进行比较。比较了1994年4月16日至1995年1月15日期间发生的所有产前和产时并发症。

结果

极高龄经产妇年龄较大。糖尿病、慢性高血压和早产的发生率与低产次女性相似，而子痫前期（7.1%对2.69%）和胎儿宫内死亡（5.2对1.3%）的发生率较高，P<0.025。两组间胎盘早剥、前置胎盘、胎位异常、产后出血和手术分娩的发生率无差异。极高龄经产妇巨大儿的发生率也较高（12%对12%），P<0.0001。