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目的探讨云浮地区十年来产妇年龄层变化及其带来的影响,从而制定应对之策。方法回顾分析2003年及2013年在本院分娩的产妇,分别统计18岁以下、18~29岁、30~39岁及40岁以上各个年龄层的产妇所占比例、剖宫产率和产后出血及妊娠期高血压疾病发病率并进行对比。结果 2013年的18岁以下及40岁以上这两个年龄层产妇所占比例较2003年均有明显增加;2013年的18岁以下及40岁以上这两个年龄层产妇剖宫产占总剖宫产比例、妊娠期高血压疾病占总妊娠期高血压疾病比例较2003年均有明显增加;2013年40岁以上产妇产后出血占总产后出血比例较2003年增加。结论云浮地区十年来18岁以下及40岁以上这两个年龄层产妇所占比例明显增加,这两类产妇均属于高危产妇,易出现并发症,需加强产前保健检查及产前诊断,同时在接诊此类患者时提高警惕,预防并发症并且做好各种可能出现的并发症的应对措施。
Objective To explore the changes of maternal age in Yunfu region in the past ten years and its impact, so as to formulate countermeasures. Methods Retrospective analysis of maternal births in our hospital in 2003 and 2013 were conducted to analyze the proportion of maternal age under 18, 18-29, 30-39 and over 40 years of age, cesarean section rate and postpartum hemorrhage And the incidence of gestational hypertension and compared. Results The proportion of males under 18 years of age and those over 40 years of age in 2013 both increased significantly compared with that of 2003; cesarean section accounted for the total number of males under 18 years of age and over 40 years of age in 2013 The proportion of uterine and pregnancy-induced hypertension accounted for a significant increase in the proportion of hypertensive disorders in pregnancy compared with 2003. The proportion of postpartum hemorrhage over 40 years of age in 2013 was more than that in 2003. Conclusion The proportions of males in the two age groups of 18 years of age and 40 years of age in Yunfu Prefecture have increased significantly over the past ten years. Both types of maternal are high-risk maternal diseases. Complications are easily encountered. Prenatal health check-up and prenatal diagnosis should be strengthened. Be vigilant when adhering to these patients, prevent complications, and respond to all possible complications.