Objective To understand the possible pregnancy factors that lead to early term birth and complications suffered by neonates.Method Firstly, 130 neonates and their mothers` clinical data were reviewed.Then, according to the gestational age, the neonates were divided into two groups, early term (n=61) group, full-term (n=69) group.The basic conditions of the mothers of the two groups and the maternal pregnancy complications and complications were then compared.The risk factors resulting in early term delivery were analyzed.The early term group were then further divided into two subgroups, one group (n=30) of 37 weeks~37 weeks and six days of gestational age and the other group of 38 weeks ~38 weeks and six days of gestational age.The incidence of neonatal complications in the two groups were compared.Findings The status of elderly term pregnancy women (aged 35), the number of pregnancy >1, uterine scar, cesarean section, complications of childbirth >1 times, premature rupture of membranes, abnormal amniotic fluid, fetal abnormalities, hypertension during pregnancy, multiple pregnancy, placenta, uterine fibroids and proportion of newborns in the early term group were significantly greater than those of full-term group (P1次、瘢痕子宫、剖宫产、分娩次数>1次、胎膜早破、羊水异常、胎位异常、妊娠期高血压、多胎妊娠、胎盘异常、子宫肌瘤的比例及新生儿的各种并发症发生率均显著高于完全足月组(P<0.05);早期足月组中37周~37周+6的新生儿重症病房入住率、感染性疾病、脑损伤、高胆红素血症、喂养问题、呼吸窘迫综合征、颅内出血、湿肺比例均显著高于38周~38周+6组(P<0.05).结论 孕产妇高龄、多胎妊娠、妊娠期高血压及瘢痕子宫等可能引起早期足月分娩;相比于完全足月新生儿,早期足月儿有更大几率发生并发症.
展开▼
