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目的:了解无锡市育龄妇女围产期的生殖健康状况,为妇幼保健工作提供可以参考的临床资料。方法:回顾性分析无锡市60 444例育龄妇女孕前、孕期及分娩期情况,由此明确该地区生殖健康状况。结果:1孕前合并症中贫血发生率最高,占5.0%;其次为生殖及生育相关疾病(异常生育史占4.7%,流产次数>3次者占1.5%)。2孕期并发胎膜早破、阴道出血以及脐带缠绕的发生率比例较高,分别为6.5%、5.3%和4.9%;其次为妊娠期高血压疾病,约为2.4%。3分娩方式中,剖宫产率(53.5%)超过自然分娩率(44.8%)。4低出生体重儿占3.3%,巨大儿占8.2%,约有1.7%的新生儿出生畸形。结论:应加强围产期妇女的生殖健康宣传和保健工作,指导避孕,减少非意愿妊娠,避免不良妊娠结局的发生。
Objective: To understand the reproductive health status of women of childbearing age during perinatal period in Wuxi and to provide reference materials for maternal and child health care. Methods: A retrospective analysis of 60 444 women of childbearing age in Wuxi before pregnancy, during pregnancy and childbirth period, thus defining the reproductive health status of the area. Results: The incidence of anemia in pre-pregnancy complication was the highest, accounting for 5.0%, followed by reproductive and reproductive-related diseases (abnormal birth history 4.7%, abortion number 3 times 1.5%). 2 The incidence of premature rupture of membranes, vaginal bleeding and umbilical cord entanglement were higher in the second trimester (6.5%, 5.3% and 4.9% respectively), followed by gestational hypertension (2.4%). 3 Mode of delivery, cesarean section rate (53.5%) than the natural delivery rate (44.8%). 4 Low birth weight children accounted for 3.3%, giant children accounted for 8.2%, about 1.7% of newborns born deformity. Conclusion: Reproductive health information and health care for perinatal women should be strengthened to guide contraceptives, reduce unwanted pregnancies and avoid adverse pregnancy outcomes.