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目的:调查北京西城区育龄妇女不良生育史的发生情况及影响因素为制定干预措施提供依据。方法:采用横断面调查,在西城区7个街道调查2 977例已分娩妇女的不良生育史及孕妇个人史、生活习惯、接触危险因素等情况,通过单因素和多因素分析探讨影响不良生育史发生的危险因素。结果:研究人群的不良生育史发生率为4.3%。经单因素卡方检验,孕前偏食、孕前患有糖尿病及孕次多者不良生育史发生率高,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,孕妇孕前偏食(OR=1.736)、孕次≥3次(OR=8.876)者发生不良生育史的风险高。结论:不良生育史的发生受多种因素影响,与母亲孕次、孕前不良生活习惯及孕前患有糖尿病等有关,应尽早采取综合干预措施。
Objective: To investigate the incidence and influencing factors of unborn childbearing history of women of childbearing age in Xicheng District of Beijing to provide the basis for formulating intervention measures. Methods: A cross-sectional survey was conducted to investigate the adverse maternal birth history and personal history, lifestyle and exposure risk factors of 2 977 women who gave birth in 7 streets of Xicheng District. Univariate and multivariate analyzes were performed to investigate the influence of unborn childbirth history Risk factors that occur. Results: The incidence of adverse childbearing history in the study population was 4.3%. By univariate chi-square test, pre-pregnancy partial eclipse, pre-pregnancy diabetes and multiple pregnancies with a higher incidence of unwanted births, the difference was statistically significant (P <0.05). Logistic regression analysis showed that pregnant women had a high risk of having unwanted childbearing history when they had pre-pregnancy partial ejaculation (OR = 1.736) and third-trimester pregnancy (OR = 8.876). Conclusion: The incidence of unhealthy births is affected by many factors, which are related to mother’s pregnancy time, pre-pregnancy bad habits and pre-pregnancy diabetes mellitus, etc. Comprehensive interventions should be taken as soon as possible.