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目的:探讨湖北省部分农村孕产妇并发症/合并症的现况及影响因素。方法:采用随机抽样的方法对湖北省黄冈、十堰、汉川三市农村的1 524例孕产妇进行问卷调查,对多个变量进行单因素分析。结果:1 524例孕产妇所构成的样本中,孕期并发症/合并症的发病率为14.63%。高危因素排前3位的依次为贫血、妊娠期高血压疾病和肝病。分娩地点、分娩年龄、孕产妇性格和是否进行过产检等4个变量与孕产妇妊娠期并发症的发生有着密切的联系,可能增加妊娠期并发症的发生率。其余各项因素比较差异无统计学意义。结论:加强三级保健网,加强孕期保健宣传教育工作,提高产前检查次数及质量,加强高危筛查,促进住院分娩是促进农村孕产妇保健、保障母婴安全、降低农村孕产妇并发症/合并症的关键措施。
Objective: To explore the status and influencing factors of maternal complications / complications in some rural areas of Hubei Province. Methods: A total of 1 524 pregnant women in rural areas of Huanggang, Shiyan and Hanchuan in Hubei Province were surveyed by random sampling method and univariate analysis was performed on multiple variables. Results: In the sample of 1 524 pregnant women, the incidence of complications / complications during pregnancy was 14.63%. High-risk factors in the top three followed by anemia, gestational hypertension and liver disease. The location of birth, the age of childbirth, the personality of the pregnant woman and whether or not the childbirth examination were conducted were closely related to the occurrence of complications during pregnancy, which may increase the incidence of complications during pregnancy. The rest of the various factors was no significant difference. Conclusions: Strengthen the three-level health care network to strengthen the health education and information during pregnancy to improve the frequency and quality of prenatal care, to strengthen screening at high risk and promote hospital delivery is to promote maternal health in rural areas to protect the safety of mothers and children, reduce rural maternal complications / Complications of the key measures.