Influence of hypertensive disorders of pregnancy for elderly primiparas
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摘要: 目的 探讨妊娠期高血压疾病(HDP)对高龄初产妇母婴结局的影响。 方法 选取本院125例高龄初产单胎孕妇为研究对象,其中34例患有 HDP的高龄初产妇为观察组,91例无HDP的高龄初产妇为对照组。比较 2组孕产妇妊娠合并症、并发症的发生率以及围产儿不良结局。 结果 2组妊娠期合并内科疾病如甲状腺疾病、糖尿病、血液系统疾病、心脏病比较,差异无统计学意义(P>0.05); 2组产后出血、胎盘早剥、早产等并发症发生率比较,差异无统计学意义(P>0.05)。观察组羊水过少、胎儿生长受限及低体质量儿发生率显著高于对照组(P<0.05)。观察组巨大儿、新生儿窒息发生率与对照组比较,差异无统计学意义(P>0.05)。 结论 HDP对胎儿有不良影响。高龄初产妇并发HDP时应定期产前检查,加强监护。Abstract: Objective To explore the influence of hypertensive disorders in pregnancy(HDP)for elderly primiparas. Methods A total of 125 senile singleton primiparas in our hospital were selected as research objects, among whom 34 senile singleton primiparas with HDP were selected as observation group, and 91 senile singleton primiparas without HDP were selected as control group. The incidence of pregnancy-induced comorbidities, complications and perinatal adverse outcomes were compared between the two groups. Results There were no differences between the two groups in complicating diseases in pregnancy such as thyroid disease, diabetes, blood system disease, heart disease(P>0.05). There were no significant differences between the two groups in incidence of complications such as postpartum hemorrhage, placental abruption, premature delivery(P>0.05). The incidence rates of oligohydramnios, low body weight and fetal growth restriction in the observation group were significantly higher than that in the control group(P<0.05). There were no significant differences in the incidence rates of asphyxia and fetal macrosomia between the observation group and the control group(P>0.05). Conclusion HDP has adverse effects on the fetus of elderly primiparas. Regular prenatal examination, and enhanced monitoring should be done.
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BALASCH J, GRATACÓS E. Delayed childbearing:effects on fertility and the outcome of pregnancy[J]. Curr Opin Obstet Gynecol, 2012, 24(3):187-193.
谢幸. 妇产科学[M]. 北京:人民卫生出版社, 2001:120-129. RAGUEMA N, MOUSTADRAF S, BERTAGNOLLI M. Immune and apoptosis mechanisms regulating placental development and vascularization in preeclampsia[J]. Front Physiol, 2020, 11:98-104.
LISONKOVA S, RAZAZ N, SABR Y, et al. Maternal risk factors and adverse birth outcomes associated with HELLP syndrome:a population-based study[J]. BJOG, 2020:156-162.
WALLE T A, AZAGEW A W. Hypertensive disorder of pregnancy prevalence and associated factors among pregnant women attending ante natal care at Gondar town health Institutions, North West Ethiopia 2017[J]. Pregnancy Hypertens, 2019, 16:79-84.
MISTRY H D, KURLAK L O, GARDNER D S, et al. Evidence of augmented intrarenal angiotensinogen associated with glomerular swelling in gestational hypertension and preeclampsia:clinical implications[J]. J Am Heart Assoc, 2019, 8(13):e012611.
BROSENS I, PUTTEMANS P, BENAGIANO G. Placental bed research:I. The placental bed:from spiral arteries remodeling to the great obstetrical syndromes[J]. Am J Obstet Gynecol, 2019, 221(5):437-456.
JOHNSON J A, TOUGH S, WILSON R D, et al. Delayed child-bearing[J]. J Obstet Gynaecol Can, 2012, 34(1):80-93.
PINHEIRO R L, AREIA A L, MOTA PINTO A, et al. Advanced maternal age:adverse outcomes of pregnancy:A meta-analysis[J]. Acta Med Port, 2019, 32(3):219-226.
RATH W, WOLFF F. Increased risk of stillbirth in older mothers:a rationale for induction of labour before term?[J]. Z Geburtshilfe Neonatol, 2014, 218(5):190-194.
HU J, LI Y Y, ZHANG B, et al. Impact of the 2017 ACC/Ahaguideline for high blood pressure on evaluating gestational hypertension-associated risks for newborns and mothers[J]. Circ Res, 2019, 125(2):184-194.
WALKER K F, BRADSHAW L, BUGG G J, et al. Causes of antepartum stillbirth in women of advanced maternal age[J]. Eur J Obstet Gynecol Repr Biol, 2016, 197:86-90.
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