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目的了解济南市女性健康状况及影响因素,为做好优生优育工作提供科学依据。方法选取2014年3月至2015年12月在济南市计划生育服务中心进行孕前优生健康体检的1 223名女性为研究对象。对其进行优生优育项目检测、风险因素评估及跟踪随访。结果研究对象有病史异常及不良嗜好、不良环境接触史者188例,占15.37%;检出各类疾病411例,疾病发生率为33.61%;其中30~39岁年龄组、低文化程度组、农村人口疾病检出率较高(P<0.05)。1 223名女性中有1 012名接受了跟踪随访,其中未孕538名,已孕474名;已孕的474名女性中,正常分娩266名,自然流产8例,人工流产5例,婴儿出生缺陷1例。结论孕前优生健康检查中发现的绝大部分危害优生优育的因素可以通过孕前健康教育和医学检查而避免;重视孕前健康教育及提高孕前优生健康检查的参检率,可以减少不良妊娠结局及婴儿出生缺陷的发生。
Objective To understand the status and influencing factors of female health in Ji’nan city and to provide a scientific basis for doing good prenatal and postnatal care. Methods A total of 1,223 women who took pre-pregnancy eugenics examination from March 2014 to December 2015 in Jinan Family Planning Service Center were enrolled in this study. Its prenatal and postnatal care project testing, risk factor assessment and follow-up. Results There were 188 cases (15.37%) with history of adverse exposure and 411 cases of various diseases, the incidence of disease was 33.61%. Among them, 30-39 years old group, low education group, Rural population disease detection rate is higher (P <0.05). Of the 1 223 women, 1 012 were followed up, of whom 538 were non-pregnant and 474 pregnant; of the 474 pregnant women, 266 were delivered normally, 8 were spontaneous abortion, 5 were induced abortion and 5 were born 1 case of defects. Conclusion Most prenatal health checkup found that the factors that harm prenatal and postnatal care can be avoided by pre-pregnancy health education and medical examination; emphasis on pre-pregnancy health education and improve pre-pregnancy health check-up rate of check-ups, can reduce adverse pregnancy outcomes and infant birth The occurrence of defects.