Clinical Analysis Of Pregnancy Outcome For The Pregnancy Woman With Oligohydramnios

Objective:Our purpose was to discuss the delivery mode and the effect between the pregnancy woman with oligohydramnios and neonatal in third trimester. Method:The clinical data of 210 pregnancy woman with oligohydramnios in the hospital of the Second Affiliated Hospital Xinjiang Medical University from 2006 to 2010 were collected. And at the same time we also selected randomly 210 pregnancy woman with normal amniotic fluid as control group. All pregnancy woman with oligohydramnios and pregnancy woman with normal amniotic fluid were checked as rule before they would delivered; We asked their last menstruation and computed accurately their delivery time, at last their pregnancy outcomes were compared. And we also analyzed the rate of fetal distress and neonatal asphyxia when they took different delivery mode. The pregnancy outcome were included the gestional weeks of the deliver, their delivery mode, neonatal birth weight, and the fetal distress, the rate of neonatal asphyxia, and neonatal death. Result:We found there were no difference in their age, gestional time and neonatal birth weight; The rate of cesarean section abdominal delivery was 79.52%and natural delivery was 20.48%in pregnancy woman with oligohydramnios, compared to the control group, we found that there was a statistical difference between two group in the delivery mode.Cesarean section abdominal delivery in pregnancy woman with oligohydramnios higher than that pregnancy woman with normal amniotic fluid group (P<0.05); The rate of gestional weeks of the deliver was 55.24%in 37-39+6 weeks and 30%in 39-39+6 weeks in pregnancy woman with oligohydramnios, and the rate of gestional weeks of the deliver was 71.90%in 37-39+6 weeks and 20%in 39-39+6 weeks in pregnancy woman with normal amniotic fluid group and there were difference we found in the two period, but in 41≥weeks we also found there was obvious statistical significance between pregnancy woman with oligohydramnios group and pregnancy woman with normal amniotic fluid group; we also found that the pregnancy woman with oligohydramnios group and pregnancy woman with normal amniotic fluid group were no neonatal death; The rate of fetal distress was 33.33%in pregnancy woman with oligohydramnios, and the rate of fetal distress was 7.14%in pregnancy woman with normal amniotic fluid group, pregnancy woman oligohydramnios was higher than that the pregnancy woman with normal amniotic fluid, there was statistical significance between two groups.At last we found that there was statistical significance between two groups (P<0.05); When they choosed cesarean section abdominal delivery or natural delivery, the rate of fetal distress and neonatal asphyxia were no difference between the two group; The rate of neonatal asphyxia was no difference, and there were no neonatal death. Conclusion:It is an important reason that the oligohydramnios was brought out fetal distress.When we find pregnancy woman with oligohydramnios at work we should pay more attention to diagnose and end pregnancy; Therefore we should choose right delivery mode to labor.our last purpose was to ensure the pregnant woman and infant are safe.