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全面二孩后高龄产妇增多 “猴宝宝”扎堆出生

2016-12-15 05:16:21   

在复旦大学附属妇产科医院杨浦院区的产房,三朵姐妹花次第而生,体重分别为1310克、990克和1230克。她们是“二胎”,还是三个孩子,在妈妈肚子里仅待了28周加4天,便迫不及待地来到世上。

昨天,记者了解到,自从“全面二孩”政策实施后,“猴宝宝”扎堆出生,沪上几家产科专科医院分娩量大幅上升。来自复旦大学附属妇产科医院最新数据显示:今年1月份以来,每月分娩数平均超1400例,比去年同期增长24.5%,7月份以来平均分娩数更是高达1641例,在医院总的分娩人数中,高龄产妇(35岁及以上)数更是占13.5%。产科门诊数则由去年平均每月17641人次跃升至25231人次,增幅达43%。

  多胎分娩屡见不鲜

三朵姐妹花的妈妈今年34岁,老大2岁,准备要二孩却意外怀上三个,家人又喜又忧,仅28周便胎膜早破,更是让人揪心。

28周,而且又是三胎,旁人不免捏一把汗。120送入院后,医院即按照极低出生体重儿(超早产儿)的产房、重症监护室部署,立即通知麻醉科、新生儿科等相关部门做好准备。

几分钟后,老大先出生,但哭声却迟迟未来。助产士随即将之抱至一旁的新生儿抢救台,等候在旁的新生儿科医生立即实施抢救,经过初步复苏,终于迎来了那一声嘹亮的啼哭。随后,老二出生,但体重仅990克,而且面色发紫,意味着曾有轻度窒息,情况不容乐观。医生立即进行简单的加压复苏,氧饱和度逐渐上升。待到老三娩出,哭声响起,一切画上了圆满的句号,让人揪心的是,其中一名女婴还是得了坏死性小肠炎。

  分娩风险相应增加

随着高龄产妇的逐渐增多,在生产过程中疑难、高危情况也逐渐增多,不仅妊娠高血压、妊娠糖尿病等常见妊娠合并症屡见不鲜,而且伴随高龄而来的其他病症,如阑尾炎、胆囊炎、胰腺炎等也层出不穷,生产过程中遇到的问题也接踵而至。

复旦大学附属妇产科医院产科主任程海东指出:“全面二孩”政策实施后,产科医生更忙也更难,因为除了产妇数量的增加,分娩风险也相应增加,这对产科医生而言也是极大的挑战。

“脐带掉出来了!”产科医生看到床上的一截脐带后迅速托住了胎儿先露的臀部,防止再往下降。其余医护人员闻讯后立即默契分工:通知麻醉、准备手术室、备皮、紧急术前谈话,短短1分钟内,各种准备全部完成,产妇被推往手术室,应急消毒铺巾后,麻醉也已见效,划皮、拉开、胎儿娩出一气呵成,此时,离发现脐带脱垂不到5分钟!

脐带脱垂是生产过程中极为凶险的一种突发情况。

同样的情况,“十一”期间同样上演,时间抢在5分钟内,胎儿顺利娩出。当时托住胎儿的李俊医生回忆说:“遇到脐带脱垂,一分一秒都是在与死神搏斗,这个时候,一个训练有素合作默契的团队显得尤其重要。”

程海东提醒,对于高龄准妈妈来说,备孕前的全面健康检查和优生优育方面的咨询也显得非常有必要。

原标题:全面二孩后高龄产妇增多 “猴宝宝”扎堆出生

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