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周丽丽.妊娠期糖尿病A1级孕妇围生期 结局分析及终止妊娠时机探讨[J].中国医药科学,2019,(6):96-98        基金项目:广东省广州市白云区科技计划项目(2016-KZ-016)
妊娠期糖尿病A1级孕妇围生期 结局分析及终止妊娠时机探讨
Exploration on analysis of perinatal outcomes of pregnant women with grade A1 gestational diabetes and the termination timing of pregnancy
  
DOI:
中文关键词:  妊娠期糖尿病 A1 级;预产期;围生期结局;终止妊娠时机
英文关键词:Grade A1 gestational diabetes;Due date; Perinatal outcomes;Termination timing of pregnancy
作者单位
周丽丽 广州市白云区妇幼保健院妇产科,广东广州 510400 
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中文摘要:
      目的?探讨达到预产期时仍未自然临产的妊娠期糖尿病 A1 级孕妇终止妊娠时机。 方法?以广州市 白云区妇幼保健院 2016 年 6 月~ 2018 年 2 月分娩的妊娠期糖尿病 A1 级产妇为研究对象,根据纳入标准, 选取分别于孕 40 周终止妊娠者及孕 41 周终止妊娠者共 68 例,每组 34 例。分析其产妇及新生儿的围生期结 局。 结果 两组孕妇平均年龄分别为(28.9±5.1)岁及(28.6±4.3)岁,孕前 BMI 分别为(21.76±3.50)kg/m2,及 (21.63±2.99)kg/m2,孕期增重(12.50±4.20)kg及(12.57±5.09)kg,差异无统计学意义(P>0.05)。产妇引产成功率分 别为52.94%及91.18%,差异有统计学意义(P<0.05),两组新生儿平均体重分别为(3.38±0.34)kg及(3.49±0.41)kg, 新生儿窒息发病率分别为8.82%及2.94%,差异无统计学意义(P>0.05),两组产妇剖宫产率分别为 47.06% 及 8.82%,差异有统计学意义(P < 0.05),两组产后出血量平均值比较,差异无统计学意义(P > 0.05)。结论 达 预产期未自然临产的妊娠期糖尿病 A1 级孕妇,在监测孕妇及胎儿各方面指标正常的情况下,可酌情延期至妊 娠 41 周再终止妊娠,宫颈条件相对成熟的情况下,引产成功率高,剖宫产率相对较低。
英文摘要:
      Objective To explore the termination timing of pregnancy in pregnant women with grade A1 gestational diabetes when their due date is reached and they still do not give natural labor. Methods Puerpera with grade A1 gestational diabetes who delivered in Baiyun District Maternal and Child Health Hospital of Guangzhou from June 2016 to February 2018 were selected as research objects.According to the inclusion criteria,a total of 68 puerpera with pregnancy termination at 40 weeks and 41 weeks were selected,and there were 34 cases in each group.The perinatal outcomes of puerpera and neonates were analyzed. Results The mean age of the pregnant women in the two groups was (28.95±5.07)years old and (28.62±4.26)years old,respectively.The pre-pregnancy BMI was(21.76±3.5)kg/ m2 and(21.63±2.99)kg/m2,respectively.The weight gain during pregnancy was (12.5±4.2)kg and (12.57±5.09) kg,respectively.The difference was not statistically significant (P > 0.05).The success rate of labor induction was 52.94% and 91.18%,respectively,and the difference was statistically significant (P < 0.05).The mean weight of newborns in the two groups was (3.38±0.34)kg and (3.49±0.41)kg, respectively. The incidence of neonatal asphyxia was 8.82% and 2.94%,respectively,and the difference was not statistically significant (P > 0.05).The cesarean section rates of the two groups were 47.06% and 8.82%,respectively,and the difference was statistically significant (P<0.05). The mean value of postpartum blood loss was similar between the two groups,and the difference was not statistically significant (P > 0.05). Conclusion Pregnant women with grade A1 gestational diabetes who have reached the due date and are not due to give birth naturally may postpone pregnancy to 41 weeks and terminate pregnancy at their discretion under the condition of normal monitoring indexes of pregnant women and fetus in all aspects.When cervical conditions are relatively mature,the success rate of labor induction is high and the rate of cesarean section is relatively low.
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