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目的分析2008年汶川大地震后地震重灾区高龄妇女再次妊娠结局,为高龄妇女的孕前保健提供参考。方法回顾性调查接受地震重灾区再生育全程服务的542例妊娠经产妇的临床资料,根据妊娠终止年龄分为高龄组(≥35岁)和非高龄组(<35岁),比较两组妊娠结局,包括基本情况、妊娠率、妊娠合并症/并发症、妊娠结果及围产儿情况。结果 2008~2013年542例再生育妇女(高龄组366例,非高龄组176例)共妊娠622人次,生育(足月和早产)517人次,活产522人(双胎6例),有出生缺陷3例。高龄组的两年内累积妊娠率低于非高龄组,高龄组妊娠高血压疾病、妊娠期糖尿病、多胎、胎儿宫内窘迫、低出生体重儿、出生缺陷的发生率较高,非高龄组足月活产率较高、流产率较低,但差异无统计学意义。结论接受地震灾区再生育全程服务的高龄经产妇再次妊娠结局与非高龄经产妇相当。
OBJECTIVE: To analyze the pregnancy outcomes of the elderly women who were hit hardest by the earthquake after the Wenchuan earthquake in 2008, so as to provide references for the elderly women’s pre-pregnancy health care. Methods The clinical data of 542 pregnant women receiving full-service rehabilitative earthquake were retrospectively investigated. According to the termination of pregnancy, the pregnant women were divided into the elderly group (≥35 years old) and the non-elderly group (≤35 years old). The pregnancy outcomes , Including basic information, pregnancy rate, pregnancy complications / complications, pregnancy outcomes and perinatal conditions. Results A total of 542 pregnant women with reproductive age (366 in the advanced age group and 176 in the non-advanced age group) in 2008-2013 had a total of 622 pregnancies, 517 births (full term and premature birth), 522 live births (6 twins) Defects in 3 cases. The cumulative pregnancy rate in the senior group was lower than that in the non-senior group in the two years. The incidence of pregnancy-induced hypertension, gestational diabetes mellitus, multiple births, fetal distress and low birth weight children in the senior age group was higher than that in the non-elderly group High live birth rate, abortion rate lower, but the difference was not statistically significant. Conclusion The pregnant women receiving the full service of reincarnation in the earthquake-stricken area have the same pregnancy outcome as the non-elderly women.