论文部分内容阅读
目的探讨国家计划生育政策调整后首次和再次分娩孕产妇在孕期保健及妊娠结局的差别,为更好地保障母婴安全提供依据。方法收集2015年1月-12月上海市松江区妇幼保健院8 004例首次和再次分娩的孕产妇保健情况,同时对这些孕产妇的妊娠结局进行追踪。结果首次分娩的孕产妇和再次分娩的孕产妇在剖宫产率(42.66%vs.51.86%)、早孕建卡(80.49%vs.67.20%)、产前检查(产检)次数≤4次、5~7次、≥8次(2.16%、7.10%、90.74%vs 4.92%、13.06%、82.02%)、巨大儿(体重≥4 000 g)的发生率(6.20%vs.7.36%)及围生儿死亡率(0.17%vs.0.40%)方面比较差异有统计学意义(χ~2=65.45、182.05、46.40、56.56、77.05、4.17、4.05,P<0.05)。结论不同分娩次数孕产妇在孕期保健意识方面存在很大差异,需进一步加强再生育妇女的健康教育,提升再次分娩孕产妇的自我保健意识。
Objective To explore the differences in the first trimester and second trimester maternal health care and pregnancy outcomes after the adjustment of the national family planning policy so as to provide the basis for better protection of maternal and infant safety. Methods The maternal health conditions of 8 004 first and second deliveries in MCH from January 2015 to December 2015 in Shanghai were collected and the pregnancy outcomes of these pregnant women were collected. Results The first delivery and the second delivery of pregnant women in the rate of cesarean section (42.66% vs.51.86%), card in early pregnancy (80.49% vs.67.20%), prenatal examination (test) ≤ 4 times, 5 The incidence of macrosomia (weight ≥ 4 000 g) (6.20% vs 7. 36%) and perinatal Children mortality (0.17% vs.0.40%) was statistically significant (χ ~ 2 = 65.45,182.05,46.40,56.56,77.05,4.17,4.05, P <0.05). Conclusions The number of maternity leave varies greatly in terms of health awareness during pregnancy. It is necessary to further strengthen the health education of women who have re-birth and enhance the self-care awareness of maternity again.