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目的分析孕妇母婴并发症发生影响因素,评价定期产检在改善母婴预后中的应用价值。方法采用回顾性分析方法,以2011年1月-2015年5月,医院产科接待的4 889例孕妇作为研究对象,将其中母婴出现过不良妊娠结局的584例纳入病例组,其余4 305例纳入正常组,调取临床资料,进行回顾性分析。结果其中未按照要求进行产检者为3.44%(168/4 889),年龄(27.4±4.2)岁,同期按要求产检者(26.4±5.1)岁,差异无统计学意义(P>0.05);正常组与病例组母年龄≥35岁、增补叶酸、孕期接触毒性与有害物质、接受免费产前检查、饲养宠物、定期产检比重,差异均有统计学意义(P<0.05);密切接触宠物[OR=1.842,95%CI(3.671~11.528)]、母亲年龄[OR=2.476,95%CI(1.482~8.487)]、定期孕检[OR=0.914,95%CI(0.8571~1.487)]成为独立影响因素,其中定期孕检成为保护因素。结论本地区孕期定期产检率较高,定期产检确实可降低母儿并发症发生风险,改善预后。
Objective To analyze the influencing factors of maternal and infant complication in pregnant women and to evaluate the value of regular checkup in the improvement of maternal and infant prognosis. Methods A retrospective analysis method was used. Among the 4 889 pregnant women admitted to the obstetrics department from January 2011 to May 2015, 584 pregnant women with adverse pregnancy outcomes were included in the case group, and the other 4 305 Into the normal group, access to clinical data, a retrospective analysis. Results There was no significant difference between the two groups (3.44% (168/4 889), age (27.4 ± 4.2) years) and those who were required for the same period (26.4 ± 5.1) (P> 0.05) The patients in group and case group were older than 35 years old with folic acid supplementation, pregnant women exposed to toxic and harmful substances during pregnancy, received free prenatal care, kept pets, and regularly paid births, the differences were statistically significant (P <0.05); close contact with pets [OR (OR = 0.914, 95% CI: 0.8571-1.487)] became independent influence (= 1.842,95% CI 3.671 11.528), maternal age (OR 2.476, 95% CI 1.482-8.487) Factors, including regular pregnancy test as a protective factor. Conclusions The regular antenatal check-up rate during pregnancy in our region is high. Regular check-ups can indeed reduce the risk of maternal and child complications and improve the prognosis.