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镇江市2014-2018年早产、低出生体质量状况及其影响因素分析 被引量:2

Incidence and influencing factors of preterm delivery and low birth weight in Zhenjiang:2014-2018
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摘要 目的了解镇江市早产、低出生体质量的发生情况及相关危险因素,为预防和有效降低不良出生结局提供科学依据。方法对2014-2018年120318例活产新生儿通过χ2检验以及多因素Logistic回归模型进行回顾性分析。结果早产发生率为4.65%,低出生体质量发生率为3.05%,均呈逐年上升趋势。剖宫产、多胎、孕次≥5是早产和低出生体质量的危险因素;出生于春季或秋季,女婴、产妇年龄≤40岁是早产的保护因素;男婴、产妇年龄20~40岁,第二产是低出生体质量的保护因素。结论镇江市早产和低出生体质量发生率逐年上升,对有高危因素的孕产妇须做好有针对性的预防、控制,降低全市早产及低出生体质量的发生。 Objective To explore the incidence and risk factors of preterm delivery and low birth weight(LBD)and to provide evidences for developing effective interventions to reduce adverse birth outcomes.Methods A retrospective analysis was carried out on 120318 newborns from 2014 to 2018.The risk factors for preterm newborns were analyzed using chi-square test and multivariate unconditional Logistic regression analysis.Results The incidence of preterm birth was 4.65%.The incidence of LBD was 3.05%.They were increased significantly during the 5 year periods.Caesarean section,multiple birth,gravidity≥5 were risk factors of LBD and preterm delivery.Born in spring or fall,baby girl,puerpera age≤40 were protective factors of preterm delivery.Baby boy,puerpera age between 20 and 40,second parity were protective factors of LBD.Conclusion The incidence of LBD and preterm delivery increased obviously during 2014 to 2018 in Zhenjiang.Early intervention on LBD and preterm delivery should be conducted among the pregnant women of high risk to reduce the incidence of LBD and preterm delivery.
作者 苗舒涵 叶洋 章亚芬 葛红岩 MIAO Shu-Han;YE Yang;ZHANG Ya-Fen(Zhenjiang Maternal and Child Health Care Hospital,Zhenjiang,Jiangsu 202001,China)
出处 《中国妇幼保健》 CAS 2020年第13期2486-2489,共4页 Maternal and Child Health Care of China
基金 国家自然科学青年基金(81502800) 镇江市社会发展指导性项目(FZ2018042)。
关键词 早产 低出生体质量 影响因素 Preterm delivery Low birth weight Influencing factor
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