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目的:探索初产前人工流产对再次妊娠时孕期并发症发生率的影响,为降低人工流产率提供科学依据。方法:采用回顾性研究方法,以整群抽样的方法,对2008年1月1日~2008年12月31日在武汉市妇幼保健院妇产科住院分娩的2 850例单胎初产妇作为研究对象,按有无人工流产史将其分为人工流产组和无人工流产组,通过问卷调查和摘录围产保健手册的方法,对住院当天的产妇进行调查。结果:人工流产组前置胎盘、胎膜早破、产前出血的发生率明显高于无人工流产组,且人工流产次数越多、末次人工流产距本次妊娠的时间越短,上述孕期并发症发生率越高。结论:初产前人工流产对孕产妇的生殖健康及再次妊娠时的母婴健康有较大的不良影响,因此,应采取科学有效的干预措施来降低人工流产率。
Objective: To explore the impact of preterm labor induced abortion on the incidence of pregnancy complications during pregnancy again, and to provide a scientific basis for reducing the rate of induced abortion. Methods: A retrospective study was conducted by cluster sampling method. A total of 2 850 singleton primiparous women delivered in obstetrics and gynecology department of Wuhan Maternal and Child Health Hospital from January 1, 2008 to December 31, 2008 were studied Subjects were divided into abortion group and abortion group according to whether there was any abortion history or not, and the mothers on the day of hospitalization were investigated through the questionnaire survey and the method of extracting perinatal care manual. Results: The incidence of preeclampsia, premature rupture of membranes and prenatal bleeding in induced abortion group was significantly higher than that in abortion group. The more abortion occurred and the shorter the time from the last abortion, the above-mentioned pregnancy complicated The higher the incidence of disease. CONCLUSION: Induced abortion prenatal maternal reproductive health and maternal and child health again have a greater adverse impact on pregnancy, therefore, should take scientific and effective interventions to reduce the rate of induced abortion.