摘要
目的探讨上海市嘉定区妇幼保健院2013—2018年的巨大儿分娩率及其影响因素。方法收集2013年1月1日—2018年12月31日在上海市嘉定区妇幼保健院完成单胎分娩的49109名产妇的临床资料,计算其巨大儿分娩率,采用logistic回归模型分析影响产妇分娩巨大儿的相关因素。结果2013—2018年间共分娩巨大儿3530例,每年产妇的巨大儿分娩率分别为7.07%(519/7346)、7.22%(618/8561)、7.30%(505/6920)、6.73%(628/9329)、7.43%(653/8789)、7.44%(607/8164)。与未分娩巨大儿的产妇相比,分娩巨大儿的产妇户籍、分娩年龄、孕次、产次、首诊孕周、妊娠黄色风险预警级别、分娩孕周、分娩方式和新生儿性别的差异均有统计学意义(P值均<0.01)。多因素logistic回归分析结果显示:产妇为非上海市户籍(OR值为1.139,95%CI为0.979~1.325)、分娩年龄≥40岁(OR值为1.596,95%CI为1.400~1.819)、孕次≥3次(OR值为1.211,95%CI为0.987~1.500)、经产妇(OR值为1.513,95%CI为1.330~2.019)、产检次数≥8次(OR值为1.181,95%CI为1.075~1.297)、首次产检孕周≥14周(OR值为1.075,95%CI为0.997~1.160)、妊娠黄色风险预警(OR值为1.157,95%CI为0.749~1.786)、分娩孕周≥41周(OR值为1.894,95%CI为1.693~2.118)均是影响产妇分娩巨大儿的高危因素。结论产妇为非上海市户籍、高龄、孕产次数增加,伴有妊娠并发症、首次产检和分娩孕周较晚均是影响巨大儿发生的重要因素。
Objective To evaluate the incidence of macrosomia and its influencing factors in Jiading Maternity and Child Care Hospital from 2013 to 2018.Methods Clinical data of 49109 parturients who gave single live birth in our hospital between January 1,2013 and December 31,2018 were collected.The incidence of macrosomia was calculated,and logistic regression model was used to analyze the relevant factors affecting macrosomia.Results A total of 3530 macrosomia were labored from 2013 to 2018,with the incidence of 7.07%(519/7346),7.22%(618/8561),7.30%(505/6920),6.73%(628/9329),7.42%(653/8789)and 7.44%(607/8164),respectively.There were significant differences in registered residence,parturientage,gravidity and parity history,first trimester,pregnancy risk warning level,delivery gestational age,delivery way,and gender of newborns between parturients with and without giant babies(all P<0.01).Multivariate logistic regression analysis showed that nonresident(OR=1.139,95%CI:0.979-1.325),parturientage≥40 years old(OR=1.596,95%CI:1.400-1.819),≥3 pregnancies(OR=1.211,95%CI:0.987-1.500),multipara(OR=1.513,95%CI:1.330-2.019),≥8 times of prenatal examinations(OR=1.181,95%CI:1.075-1.297),≥14 weeks of the first prenatal examination(OR=1.075,95%CI:0.997-1.160),yellow alert for pregnancy(OR=1.157,95%CI:0.749-1.786),delivery at more than 41 weeks(OR=1.894,95%CI:1.693-2.118)were risk factors for the occurrence of giant baby.Conclusion Nonresident,elderly parturient women,increased gravidity and parity,pregnant complications,late first prenatal examination and delivery are the important factors for the occurrence of macrosomia.
作者
梁秋峰
王霞红
LIANG Qiufeng;WANG Xiahong(Department of Obstetrics,Jiading Maternity and Child Care Hospital,Shanghai 201821,China)
出处
《上海医学》
CAS
北大核心
2020年第8期485-489,共5页
Shanghai Medical Journal
基金
嘉定区医学重点专科项目(JDYXZDZK-8)。
关键词
巨大儿
发生率
影响因素
Macrosomia
Incidence
Influencing factors
