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目的:探讨延期妊娠引产的利弊及终止妊娠的时机,以确定适当的处理措施。方法:选择收治的无妊娠合并症、头位、延期妊娠的初产妇402例,分为引产组264例,自然临产组138例,分别对两组的分娩方式、平均住院日、产后并发症、新生儿窒息、羊水Ⅲ°污染情况进行回顾性分析。结果:①引产组的剖宫产率、平均住院日、羊水Ⅲ°污染均高于自然临产组,差异有统计学意义(P<0.05);②引产组和自然临产组的产后出血、产褥病率、新生儿窒息率差异无统计学意义(P>0.05);③引产组宫颈Bishop评分≤4分组剖宫产率高于评分6分及以上组,差异有统计学意义(P<0.05)。结论:延期妊娠引产增加了剖宫产率及住院天数;临床上为了预防过期妊娠而不适当的干预措施值得探讨;对于宫颈条件不成熟者,刚满孕4l周无迫切终止妊娠指征者在综合监测胎盘功能良好的状态下可继续妊娠。
OBJECTIVE: To investigate the pros and cons of delayed labor induced abortion and the timing of termination of pregnancy to determine appropriate treatment measures. Methods: 402 cases of primipara caused by non-pregnancy complications, head position and delayed pregnancy were divided into induction group (264 cases) and spontaneous labor group (138 cases). The delivery modes, average length of stay, postpartum complications, Neonatal asphyxia, amniotic fluid Ⅲ ° contamination were retrospectively analyzed. Results: (1) Cesarean section rate, average length of stay, amniotic fluid Ⅲ ° pollution in induced labor group were all higher than those in natural labor group (P <0.05); ②Postpartum hemorrhage and puerperal (P> 0.05). ③ The rate of cesarean section in induction group was significantly higher than that in group B score <4 (P <0.05), and the difference was statistically significant (P <0.05) . Conclusions: Delayed labor induced labor increased the rate of cesarean section and hospitalization days; clinically in order to prevent outdated pregnancy and inappropriate interventions worth exploring; for immature cervical conditions, just full of pregnancy 4l weeks no indication of imminent termination of pregnancy Comprehensive monitoring of placental function in good condition can continue with pregnancy.