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| Analysis of Complications and Maternal and Infant Outcomes of Very Early and Early Preterm Delivery in Elderly Women |
| ZHU Li, ZENG Yue, XU Xi |
| Community Health Service Center, Jiangning Road, Jing'an District, Shanghai, 200040 |
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Abstract 【Objective】To investigate the complications and maternal and infant outcomes of very early and early preterm delivery in elderly women.【Methods】A total of 78 elderly pregnant women who delivered at Jiangning Road community health service center in Jing'an District of Shanghai from March 2018 to June 2019 were selected as the research objects. According to the gestational weeks of delivery, they were divided into extremely early preterm delivery group (27 cases with gestational period of 24-28 weeks) and 51 cases of early premature delivery group (pregnancy period of 28-33+4 weeks),The maternal age, body mass index (BMI), past history, mode of delivery, birth weight, Apgar score, length of stay in NICU, pregnancy induced hypertension and diabetes mellitus were compared between the two groups.【Results】Among 78 cases of premature infants, 27 cases (34.62%) were very early preterm infants and 51 cases (65.38%) were early preterm infants. The birth weight, Apgar score and NICU of early preterm infants were significantly better than those of very early preterm infants (P<0.05). There was no significant difference between the two groups in the incidence of premature rupture of membranes, placental abnormalities, abnormal fetal position and other complications (P>0.05); however, the incidence of gestational diabetes mellitus in the early preterm birth group was significantly higher than that in the very early preterm birth group, and the rate of cervical dysfunction in the very early preterm birth group was significantly higher than that in the early preterm birth group (P<0.05); there were 4 cases of cesarean section in the two groups, accounting for 18.81%, and the cesarean section rate in the extremely early preterm birth group was significantly lower than that in the early preterm birth group (P<0.05); The cesarean section rate of pregnant women with abnormal placenta in early preterm delivery group was significantly increased (P<0.05).【Conclusion】 Premature rupture of membranes (PROM) is one of the most common complications of very early and early preterm delivery in elderly women. Therefore, we should attach great importance to the risk factors leading to premature rupture of membranes, treat pregnancy associated diseases, do a good job of pre pregnancy examination and relevant intervention measures, and consider cervical cerclage for cervical insufficiency, so as to prolong the gestational weeks as far as possible under the safety of mothers and infants, and improve the maternal and infant outcomes.age, and improve the outcome of mothers and infants.
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Received: 14 October 2020
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2020, Vol. 37 
