Abstract:Objective To analyze the characteristics of the women aged 35 years or older and their pregnancy outcomes, to explore the clinical nursing strategies, and to provide guidance for the management of those women.Methods A total of 1496 cases with the clinical data of all the multiparous women were include in the retrospective analysis from the obstetrics of Peking University Third Hospital from January to December 2016. Their mean age was 34.3±3.4 years old, ranging from 22 to 45. The participants were divided into three groups according to their maternal age. There were 769, 608, and 92 cases for pregnancy at age less than 35, between 35 and 40, and 40 or older, respectively. We made a comparison in the incidences of gestational complications, cesarean section and other perinatal outcomes in the three groups.Results The incidences of gestational diabetes mellitus (GDM), postpartum hemorrhage, uterine myoma, scarred uterus and cesarean section in the three groups increased with age statistically significantly (P<0.05). There was no statistically significant difference in the incidences of hypertensive disorders of pregnancy, premature rupture of membranes, placenta previa, preterm labor, macrosomia, neonatal asphyxia, and stillbirth among the three groups (P>0.05).Conclusion For multiparous women aged 35 or older, the risk of GDM, postpartum hemorrhage, uterine myoma, scarred uterus and cesarean section increased with age. Health education and management before and during pregnancy should be enhanced to ensure maternal and newborn health.
赵艳, 张研红, 刘鹭燕, 卢絜, 倪胜莲, 王永清. 高龄经产妇的妊娠结局分析及护理对策探讨[J]. 中国生育健康杂志, 2019, 30(2): 131-134.
ZHAO Yan, ZHANG Yanhong, LIU Luyan, LU Jie, NI Shenglian, WANG Yongqing. Analysis of pregnancy outcomes and nursing strategies among multiparous women aged 35 years or older. Chinese Journal of Reproductive Health, 2019, 30(2): 131-134.
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