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目的探讨羊水过少对母儿结局的影响与处理方法。方法选取在深圳市妇幼保健院分娩的115例羊水过少产妇作为研究对象,并随机抽取115例同期羊水量正常产妇作为对照。回顾两组临床资料,分析比较妊娠并发症、分娩及围生儿情况。结果观察组过期妊娠、妊高征、脐带受压、FGR并发症发生数均明显多于对照组(P<0.05),胎儿畸形比较差异未见统计学意义(P>0.05)。观察组剖宫产例数显著多于对照组(P<0.01),总产程与产后出血量均大于对照组,差异有统计学意义(P<0.01)。观察组中羊水污染、胎儿窘迫及新生儿窒息发生数均高于对照组,差异有统计学意义(P<0.05)。结论羊水过少常伴其他妊娠并发症,对分娩与围生儿结局有不良影响,应加强超声监测,早发现,早干预,放宽剖宫产指征,适时终止妊娠。
Objective To investigate the effect of oligohydramnios on maternal and child outcomes and its treatment. Methods A total of 115 cases of oligohydramnios delivered at Shenzhen Maternal and Child Health Hospital were selected as research subjects and 115 normal mothers with the same amount of amniotic fluid during the same period were selected as the control. Review two sets of clinical data, analysis and comparison of pregnancy complications, childbirth and perinatal conditions. Results In the observation group, the number of pregnancy induced complications, pregnancy induced hypertension, umbilical cord compression and FGR were significantly higher in the observation group than those in the control group (P <0.05). There was no significant difference in fetal malformations between the observation group and the control group (P> 0.05). The number of cases with cesarean section in the observation group was significantly more than that in the control group (P <0.01). The total amount of labor and the amount of postpartum hemorrhage in the observation group were significantly larger than those in the control group (P <0.01). Amniotic fluid contamination, fetal distress and neonatal asphyxia in the observation group were higher than those in the control group, with significant difference (P <0.05). Conclusions The oligohydramnios often accompanied by complications of other pregnancy have an adverse effect on childbirth and perinatal outcome. Ultrasound monitoring, early detection and early intervention should be strengthened to ease the indications for cesarean section and terminate the pregnancy timely.