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目的探讨分析妊娠分娩并发症的危险因素。方法 358例接受管理待产的妊娠妇女为研究对象,对一般资料、既往孕产史、分娩情况等进行调查,记录所有研究孕产妇的妊娠分娩并发症发生情况,比较分析影响妊娠分娩并发症发生的相关危险因素。结果 358例妊娠妇女中,40例孕产妇发生妊娠分娩并发症,发生率为11.17%。单因素分析结果显示,年龄、流产次数、既往剖宫产史、孕检次数、分娩方式、分娩时孕周是妊娠分娩并发症的影响因素(χ~2=21.943,4.167,10.884,4.958,4.837,16.224,P<0.05)。多因素分析结果显示,年龄小、流产次数少、分娩时孕周小是妊娠分娩并发症的保护性因素,有既往剖宫产史、孕检次数少、剖宫产是妊娠分娩并发症的独立危险因素,差异有统计学意义(P<0.05)。结论高龄妊娠、多次流产、既往剖宫产史、晚产、孕检次数少、剖宫产是妊娠分娩并发症发生的主要危险因素,临床上应该加强妊娠分娩并发症风险的健康教育,提高孕产妇的自我保健意识与能力,并建议针对具有以上高危因素的孕产妇,应当加强孕检工作,积极进行早期防护与治疗,以降低发病率,改善妊娠结局。
Objective To analyze the risk factors of complications during pregnancy and childbirth. Methods A total of 358 pregnant women undergoing maternity leave were enrolled in this study. General information, previous history of pregnancy and childbirth, and so on were investigated. All maternal complications of pregnancy and childbirth were recorded, and the complications affecting pregnancy and childbirth were analyzed comparatively Related risk factors. Results Among 358 pregnant women, 40 pregnant women had complications of pregnancy and childbirth, the incidence was 11.17%. Univariate analysis showed that age, number of abortions, history of previous cesarean section, number of pregnancy tests, mode of delivery and gestational age at delivery were the influencing factors of complications during pregnancy and childbirth (χ ~ 2 = 21.943, 4.167,10.884,4.958,4.837 , 16.224, P <0.05). Multivariate analysis showed that younger age, fewer abortions, gestational age during childbirth is a protective factor for complications of pregnancy and childbirth, with a history of previous cesarean section, less number of pregnancy tests, cesarean section is independent of pregnancy and childbirth complications Risk factors, the difference was statistically significant (P <0.05). Conclusion Cesarean section is the main risk factor of pregnancy and childbirth complications in elderly pregnancy, multiple abortion, previous cesarean section history, late pregnancy and pregnancy test. Health education should be strengthened clinically to increase the risk of complications of pregnancy and childbirth Maternity awareness and ability of self-care, and recommendations for those with the above risk factors for pregnant women, pregnancy testing should be strengthened, and actively carry out early protection and treatment to reduce morbidity and improve pregnancy outcomes.