论文部分内容阅读
目的:分析某市近年来育龄妇女不良妊娠结局的发生状况,为其预防提供依据。方法:回顾性分析某市2001年1月~2008年6月生育年龄妇女妊娠结局(共66 619例),探讨不良妊娠结局与年龄、文化程度、身体状况、孕期暴露及妊娠合并症的关系。结果:不良妊娠结局包括出生畸形、早产、死胎和足月出生低体重,2001年1月~2008年6月各种不良妊娠结局总体发生率为7.14%,呈逐年下降趋势,由10.85%降低到4.99%;发生顺位为早产(37.86‰)、出生畸形(20.20‰)、足月出生低体重(10.37‰)、死胎(6.24‰);年龄偏大、文化程度较低、早孕期异常、妊娠期高血压疾病、胎膜早破、多胎妊娠和胎盘异常等与不良妊娠结局有关(P<0.05或P<0.005);早产是不良妊娠结局的最主要类型,几乎与上述因素都有关,出生低体重仅与妊娠期高血压疾病和多胎妊娠有关(P<0.005),死胎和出生畸形与上述因素关系不显著(P>0.05)。结论:某市育龄妇女不良妊娠结局逐年改善,但高龄、妊娠期高血压疾病、胎膜早破、胎盘异常、多胎妊娠可增加早产和出生低体重发生的风险,需重点采取措施进行干预。
Objective: To analyze the incidence of unfavorable pregnancy outcomes in women of childbearing age in a city in recent years, and provide the basis for its prevention. Methods: The pregnancy outcomes (66 619 cases) of reproductive women from January 2001 to June 2008 in a certain city were analyzed retrospectively to investigate the relationship between adverse pregnancy outcomes and age, education level, physical status, pregnancy exposure and pregnancy complications. Results: Adverse pregnancy outcomes included birth deformity, preterm birth, stillbirth and low birth weight at term. The overall incidence of adverse pregnancy outcomes from January 2001 to June 2008 was 7.14%, showing a declining trend from 10.85% to 4.99%; the occurrence of premature birth (37.86 ‰), birth deformity (20.20 ‰), full-term low birth weight (10.37 ‰), stillbirth (6.24 ‰); older, less educated, early pregnancy abnormalities, pregnancy Premature rupture of membranes, multiple pregnancy and placental abnormalities were associated with adverse pregnancy outcomes (P <0.05 or P <0.005). Preterm birth was the most predominant type of adverse pregnancy outcome and was almost related to the above factors, with low birth rate Weight only with gestational hypertension and multiple pregnancy (P <0.005), stillbirth and birth deformity and the above factors were not significant (P> 0.05). Conclusion: The unfavorable pregnancy outcomes of a woman of child-bearing age in a certain city improve year by year. However, the elderly, pregnancy-induced hypertension, premature rupture of membranes, abnormal placenta, and multiple pregnancy increase the risk of premature birth and birth weight loss. Measures should be taken to intervene.