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目的研究产后3 d首次贫血患病率及其影响因素。方法选取2012年1月-2013年1月在普陀区妇婴保健院产检直至分娩的符合纳入标准产妇2 877名。通过问卷调查、病例回顾,完成数据采集。Epidata建立数据库,SPSS16.0统计软件分析。结果产后3 d首次贫血患病率33.82%。产妇的户籍、产次与产后3 d首次贫血患病率差异有统计学意义(χ2=11.19、8.77,P<0.01)。分娩方式、巨大儿、新生儿窒息与产后3 d首次贫血患病率差异有统计学意义(χ2=41.65、6.33、4.26,P<0.05)。结论产后3 d首次贫血较常见。产妇的户籍为非本市、产次>1次、分娩方式为剖宫产或助产、巨大儿、新生儿窒息与产后3 d首次贫血患病率有关。建议对具有上述因素的产妇进行产后3 d贫血检查。
Objective To study the prevalence of first anemia on postnatal day 3 and its influential factors. Methods From January 2012 to January 2013, 2 877 maternal women who met the standard inclusion criteria were selected for maternal and child health check-up till delivery in Putuo District. Through the questionnaire, case review, complete data collection. Epidata to establish a database, SPSS16.0 statistical software analysis. Results The prevalence of first anemia was 33.82% 3 days after delivery. Maternal household registration, parity and the first postpartum 3 d anemia prevalence difference was statistically significant (χ2 = 11.19,8.77, P <0.01). The mode of delivery, macrosomia, neonatal asphyxia and the first anemia of postpartum 3 days were significantly different (χ2 = 41.65, 6.33, 4.26, P <0.05). Conclusion The first anemia occurred more than 3 days after delivery. Maternal household registration is non-local, delivery times> 1, cesarean section or midwifery mode of delivery, giant children, neonatal asphyxia and postpartum 3 d the first anemia prevalence. It is recommended that mothers with these factors be tested for the 3-day postpartum anemia.