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目的研究孕期保健对于妊娠晚期胎死宫内的意义,探讨妊娠晚期胎死宫内的原因及对策。方法采取病例对照研究,以我院自2014年7月-2015年7月收治的225例妊娠晚期胎死宫内孕产妇作为病例组,选取同时期于我院健康生产的孕产妇作为对照组,回顾两组患者的临床资料,对两组患者的孕期保健情况进行对比。结果病例组孕期保健情况:接受产前检查0次130例、1-2次52例、3次及以上43例;对照组孕期保健情况:接受产前检查0次50例、1-2次108例、3次及以上67例。对整体做χ~2检验,χ~2=60.39,自由度为2,P<0.05,差异有统计学意义。以产前检查0次为参照组,其余各级OR值为0.18、0.15,随产前保健次数增加而递减,提示产前检查为胎死宫内的保护因素。结论孕期保健是妊娠晚期胎死宫内的保护因素,合理的产前检查、孕妇的孕产知识教育等孕期保健可有效地提高新生儿生存质量、降低妊娠晚期胎死宫内的发生率。
Objective To study the significance of prenatal care in the third trimester of pregnancy and explore the causes and strategies of the third trimester of pregnancy. Methods A case-control study was conducted in 225 pregnant women with third trimester pregnancy fetuses admitted to our hospital from July 2014 to July 2015 as the case group. The healthy pregnant women in our hospital were selected as the control group, Review the clinical data of two groups of patients, comparing the two groups of patients during pregnancy health conditions. Results The health status of pregnant women during pregnancy was as follows: 130 cases were subjected to 0 prenatal examination, 52 cases were 1-2 times, 43 cases were 3 times or more. The control group was pregnant during pregnancy: 50 cases received 0 prenatal examination, 1-2 times 108 Cases, 3 times and above 67 cases. To the whole χ ~ 2 test, χ ~ 2 = 60.39, degree of freedom of 2, P <0.05, the difference was statistically significant. The prenatal examination 0 times as the reference group, the remaining levels of OR value of 0.18,0.15, with the increase in the number of prenatal care decreased, suggesting that prenatal care for fetal protection factors. Conclusion Prenatal care is the protective factor in the third trimester of pregnancy, and prenatal care and prenatal education of pregnant women can improve the quality of life and reduce the incidence of intrauterine pregnancy in late pregnancy.