Clinical observation of expectant treatment for placenta previa / 中国基层医药

ABSTRACT

Objective To explore the feasibility of expectant treatment for placenta previa. Methods 90 patients with placenta previa were selected. 30 cases of 90 patients with vaginal bleeding,strongly spontaneous contractions .full-term pregnancy .which pregnant women and their families required termination of pregnancy were selected as the control group;The remaining 60 cases were expected as the observation group,and were given expectant treatment. Then termination of pregnancy was carried out choosing the right time. The differences in gestational age at delivery, prenatal postpartum hemorrhage, puerperal infection, perinatal child weight, Apgar score, mortality .respiratory distress syndrome and other aspects were compared. Results There was no significant difference in pre-natal bleeding between two group(P > 0. 05); But compared with control group, in observation group postpartum hemorrhage and puerperal infection was less, neonatal weight increased, Apgar score was improved, RDS decreased ( P < 0.05 ). Conclusion Under close observation,expectant treatment of placenta previa by looking in the premise of ensuring the safety of extended maternal gestational age, could increase the weight of newboms and reduce the mortality of perinatal children.