摘要
目的:分析二胎政策开放前后玉渊潭社区孕产妇高危因素情况。方法:选择2014年1月-2019年12月北京市海淀区玉渊潭社区卫生服务中心孕产妇2 619例,将2016年12月31日前分娩孕妇设为对照组(987例),2017年1月后分娩孕妇设为观察组(1 632例)。回顾性分析母婴健康档案,比较两组年龄、妊娠及分娩并发症等情况。结果:(1)孕妇基本资料:对照组孕妇平均年龄(31.05±4.07)岁,观察组(31.44±4.27)岁,两组比较差异有统计学意义(P<0.05)。(2)妊娠高危因素:对照组体重指数(BMI)异常率为7.09%,观察组为10.05%;对照组妊娠合并贫血率为8.8%,观察组为4.2%。两组比较差异有统计学意义(P<0.05)。(3)分娩高危因素:对照组瘢痕子宫发生率为7.9%,观察组为13.7%;对照组巨大儿发生率为0.8%,观察组为2.5%;对照组产后出血率为2.4%,观察组为4.2%。两组比较差异有统计学意义(P<0.05)。结论:二胎政策开放后,玉渊潭社区高龄孕妇、剖宫产再孕比例升高,妊娠及分娩的主要高危因素均较前增加,所以孕妇需重视孕期饮食指导及体重控制。
Objective: To analyze the high-risk factors of pregnant women and puerpera in Yuyuantan community before and after the opening of the two-child policy. Methods: A total of 2 619 pregnant women and puerpera in Yuyuantan Community Health Service Center in Haidian District of Beijing from January 2014 to December 2019 were selected. Pregnant women who delivered before December 31, 2016 were set as the control group(n = 987), and pregnant women who delivered after January 2017 were set as the observation group(n = 1 632). The maternal and child health records were analyzed retrospectively, and the differences in age, pregnancy and delivery complications between the two groups were compared. Results:(1) Basic data of pregnant women: the average age of pregnant women was(31.05 ± 4.07) years in the control group and(31.44 ± 4.27) years in the observation group,there was significant difference between the two groups(P<0.05).(2) High-risk factors of pregnancy: the proportion of abnormal body mass index(BMI) was 7.09% in the control group and 10.05% in the observation group;The rate of pregnancy complicated with anemia was 8.8% in the control group and 4.2% in the observation group. There was significant difference between the two groups(P<0.05).(3) High-risk factors of delivery: the incidence of scar uterus was 7.9% in the control group and 13.7% in the observation group;The incidence of macrosomia was 0.8% in the control group and 2.5% in the observation group;The postpartum hemorrhage rate was 2.4% in the control group and 4.2% in the observation group;There was significant difference between the two groups(P<0.05). Conclusion: After the opening of the two-child policy, the proportions of elderly pregnant women and repregnancy after cesarean section in Yuyuantan community have increased, and the main high-risk factors of pregnancy and delivery have increased. It is necessary to pay attention to diet guidance and weight control during pregnancy.
作者
王秀梅
孙立芸
宋磊
陈亚芳
齐莹
王纯沛
Wang Xiu-mei;Sun Li-yun;Song Lei;Chen Ya-fang;Qi Ying;Wang Chun-pei(Yuyuantan Community Health Service Center,Beijing 100036,China)
出处
《中国社区医师》
2022年第10期149-151,共3页
Chinese Community Doctors
关键词
二胎
高危因素
围产管理
Two-child
High-risk factors
Perinatal management
