摘要
目的了解不良妊娠结局的现状并探讨其主要影响因素。方法随机抽取山东省潍坊市2家医院2012年5月至2013年5月期间就诊的孕产妇共计698人，通过查阅产妇病例、新生儿出生记录、现场询问和随访获得产妇和新生儿父亲的一般情况、孕期及分娩情况等资料，应用多因素Logistic回归分析筛选妊娠结局的主要影响因素。结果不良妊娠结局的发生率为15．09％；产妇营养状况好为妊娠结局的保护性因素（OR=2．28，95％CI：1．47～3．54，P〈0．05）；而高龄产妇、有长期服药史、产妇异常孕产史、妊娠合并症、细菌或病毒性感染、有害因素接触史、羊水异常、胎盘异常等8个因素为妊娠结局的危险因素（均P〈0．05）。结论鼓励育龄妇女在最佳生育年龄段生育；注意孕期营养均衡；减少农药等有害因素的接触；加强孕期及分娩时的健康监护工作，特别是注意预防感染和妊娠合并症，防止胎盘异常和羊水异常等。
Objective To investigate the current status of adverse pregnancy outcomes and their major influencing factors. Methods Totally 698 pregnant women visiting hospital were randomly selected from 2 hospitals in Shandong Weifang from May 2012 to May 2013. The general situation of newborns＇ mother and father, pregnancy and delivery data were obtained through maternal clinical records, birth records, on-the-spot inquiry and follow-up. Multiple logistic regression analysis was conducted to screen the major influencing factors of pregnancy outcomes. Results The incidence of adverse pregnancy outcomes was 15.09%. Good maternal nutritional status was protective factor of pregnancy outcomes （ OR = 2.28, 95% CI： 1.47-3.54, P 〈 0.05 ）. Risk factors included advanced maternal age, long-term medication history, maternal history of abnormal pregnancy, pregnancy complications, bacterial or viral infection, history of exposure to harmful factors, abnormal amniotic fluid and placenta （ all P 〈 0.05 ）. Conclusion Childbearing women are advocated to deliver at best childbearing age. Maternal nutrition should be balanced, and exposure to harmful factors such as pesticide should be reduced. Health care during pregnancy and childbirth needs to be emphasized, and special attention should be paid to the prevention of infection, pregnancy complications, abnormal placenta and amniotic fluid abnormality.
出处
《中国妇幼健康研究》
2014年第4期577-580,共4页
Chinese Journal of Woman and Child Health Research
基金
国家人口计生委资助项目(人口科[2011]55号C1-86)
山东省教育厅资助项目(项目编号:J11LF13)
山东省计生委资助项目(项目编号:2009年第19号)
