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目的探讨宁波市江北区农村孕产妇高危妊娠因素分布特点及对妊娠结局的影响,为加强高危妊娠管理提供指导。方法采用回顾性研究对江北区2009—2011年5 476名农村孕产妇中的821名中重度高危妊娠孕产妇进行监测和分析。结果江北区2009—2011年农村孕产妇高危妊娠平均发生率为51.22%,不同年龄组、不同孕次孕产妇中重度高危妊娠的发生率差异均有统计学意义(P<0.05);前5位高危因素依次为瘢痕子宫、卵巢囊肿、子宫肌瘤、羊水过多、试管婴儿和人工授精儿,2种及以上高危因素占82.95%,高危分布以孕早期为主;高危妊娠组的围产儿死亡率明显高于非高危妊娠组(P<0.05)。结论加强高危妊娠孕产妇管理,可有效降低母婴死亡率,提高孕产妇保健质量。
Objective To explore the distribution characteristics of high risk pregnant women in rural areas in Jiangbei District of Ningbo City and their influence on pregnancy outcome, so as to provide guidance for strengthening the management of high-risk pregnancies. Methods A retrospective study was conducted on 821 maternal high-risk pregnancies among 5 476 pregnant women in rural areas from 2009 to 2011 in Jiangbei District. Results The average incidence of high-risk pregnancies in rural pregnant women in Jiangbei District was 51.22% between 2009 and 2011. The incidence of moderate-high-risk pregnant women in different age groups and pregnancies was significantly different (P <0.05). The top 5 Risk factors were followed by scar uterus, ovarian cysts, uterine fibroids, polyhydramnios, IVF and artificial insemination, two or more risk factors accounted for 82.95%, high-risk distribution in the first trimester of pregnancy; perinatal death in high-risk pregnancy group Rate was significantly higher than non-high risk pregnancy group (P <0.05). Conclusion Strengthening maternal management in high-risk pregnancy can effectively reduce maternal and infant mortality and improve maternal health care quality.