摘要
目的回顾分析二孩政策后初产与二产产妇的母婴结局情况。方法选取2017年1—6月在厦门大学附属第一医院住院分娩的2 276例产妇,根据产次分为初产组1 008例及二产组1 268例,回顾分析两组产妇的分娩方式、妊娠合并症及并发症、早产儿、低出生体质量儿、巨大儿、畸形儿的发生率。结果二产组剖宫产率高于初产组,巨大儿、瘢痕子宫、B族链球菌感染、妊娠期糖尿病、产后出血的发生率高于初产组,差异均具有统计学意义(P <0.05)。初产组胎膜早破的发生率高于二产组,差异具有统计学意义(P <0.05)。两组产妇妊娠期高血压疾病、妊娠合并贫血、妊娠合并甲状腺疾病、羊水量异常、前置胎盘、早产儿、低出生体质量儿、畸形儿比较,差异均无统计学意义(P> 0.05)。结论实施二孩政策后,二产产妇明显增多,妊娠合并症及并发症增加,巨大儿发生率高,有必要加强对二产孕产妇的围产期健康管理,以减少不良母婴结局的发生,保证母亲及婴儿平安健康。
Objective To analyze the maternal and infantile outcomes between primiparous and secundiparous women.Methods From January to June 2017,2 276 pregnant women who were hospitalized and delivered in The First Affiliated Hospital of Xiamen University were selected and divided into primiparous group and secundiparous group according to the history of delivery.There were 1 008 in the primiparous group and 1 268 in the secundiparous group.Delivery modes,Pregnancy complications,preterm labor,low birth weight infant,macrosomia,deformed infant were compared between the two groups.Results The rate of cesarean section in the secundiparous group was higher than that in the primiparous group.The incidence of macrosomia,scarred uterus,group B streptococcal infection,gestational diabetes mellitus and postpartum hemorrhage was higher than that of the primiparous group,and the difference was statistically significant(P<0.05).The incidence of premature rupture of membranes in the primiparous group was higher than that in the secundiparous group(P<0.05).There was no significant difference between the two groups in terms of pregnancy hypertension,pregnancy with anemia,pregnancy with thyroid disease,abnormal amniotic fluid volume,placenta previa,premature infants,low birth weight infants and malformed infants(P>0.05).Conclusion After the opening policy of the second child,secundiparous women increased obviously and increased the pregnancy complications and macrosomia.It is necessary to enhance the secundiparous women health care management,reduce adverse maternal and infantile outcomes,ensure the security of maternal and infant.
作者
叶菀
林文华
丁玉兰
郑蓉婷
YE Wan;LIN Wenhua;DING Yulan;ZHENG Rongting(Departmentof Nursing,Xiamen Medical College,Xiamen Fujian 361023,China;Obstetrics and Gynecology Department,The First Affiliated Hospital ofXiamen University,Xiamen Fujian 361003,China;Nursing Teaching andResearch Office,The First Affiliated Hospital of Xiamen University,XiamenFujian 361003,China;Department of Nursing,Fujian University ofTraditional Chinese Medicine,Fuzhou Fujian 350122,China)
出处
《中国卫生标准管理》
2019年第1期55-57,共3页
China Health Standard Management
关键词
二孩政策
母婴结局
初产
二产
妊娠合并症
妊娠并发症
policy of the second child
maternal and infantile outcomes
primiparous
secundiparous
comorbidities of pregnancy
complications ofpregnancy
