摘要
Abstract
Objective To investigate the influence of elderly primipara on pregnancy outcomes and delivery mode .Methods From June 2009 to September 2010 442 cases of elderly primiparas (≥35 years old ) were selected from Beijing Ditan Hospital in experimental group to analyze the incidence of pregnant complications , delivery mode and pregnant outcomes .At the same period 450 normal primiparas were randomly selected in control group to conduct statistical analysis .Results The proportion of cases complicated with preeclampsia , uterine fibroids, oligohydramnios, fetal macrosomia, breech presentation, gestational diabetes, or impaired glucose tolerance was significantly higher in the experimental group than in the control group (χ2 value was 7.470, 35.212, 8.811, 10.874, 4.747, 12.844 and 26.159, respectively, all P<0.05).In the control group the incidence of fetus distress and premature rupture of membrane was significantly higher (χ2 value was 4.874 and 6.689, respectively, both P<0.05).The cesarean section rate of elderly primiparas (68.3%) was remarkably higher than that of the normal primiparas (33.6%).Conclusion The incidence of pregnant complications among elderly primiparas is obviously higher than that among young primiparas , so elderly pregnancy should be avoided .For elderly pregnancy perinatal care should be strengthened , pregnancy complications should be prevented and the indications of cesarean section should be controlled reasonably to ensure maternal and fetal safety and health .关键词
高龄初产/妊娠/合并症/分娩方式/妊娠结局Key words
elderly primiparas/pregnancy/complication/delivery mode/pregnancy outcomes分类
医药卫生
