摘要
目的:探讨辅助生殖技术(ART)孕产妇早产、新生儿低体质量影响因素。方法:选取2018年10月-2022年2月在本院分娩的ART孕产妇150例,统计早产、新生儿低体质量发生情况,收集不同结局孕产妇基线资料、卵巢刺激情况、移植情况,应用logistic多因素回归分析ART孕产妇早产、新生儿低体质量影响因素。结果:早产与非早产孕产妇体质指数(BMI)、妊娠胎数、妊娠期高血压、胎膜早破占比有差异,新生儿低体质量与非新生儿低体质量孕产妇BMI、妊娠胎数、胎膜早破占比有差异(均P<0.05);logistic多因素回归分析显示,ART孕产妇BMI、妊娠胎数、妊娠期高血压、胎膜早破为发生早产的影响因素,ART孕产妇BMI、妊娠胎数、胎膜早破为新生儿低体质量发生影响因素(P<0.05)。结论:ART孕产妇早产、新生儿低体质量发生受多种因素影响,临床应依据影响因素制定合理干预措施,减少新生儿不良结局发生。
Objective:To explore the influence factors of the preterm delivery and low birth weight of the newborn of women with assisted reproductive technology(ART).Methods:150 pregnant women with ART who had delivered in hospital from October 2018 to February 2022 were selected in this study.The situation of preterm delivery and low birth weight of the newborn of these women were counted.The baseline data and the situations of ovarian stimulation and embryo transplantation of the pregnant women with different pregnancy outcomes were collected.The influencing factors of the premature birth and the low body weight of the newborn of the women were analyzed by logistic regres-sion.Results:There were significant differences in the value of body mass index(BMI),the number of pregnancies,and the percentages of the pregnancy induced hypertension and the premature rupture of membranes between the women with and without preterm delivery.There were significant differences in the BMI value,the number of pregnan-cies,and the percentage of premature rupture of membranes of the women between their newborn with and without low birth weight(P<0.05).Logistic multiple factor regression analysis showed that the BMI value,the number of pregnancies,the pregnancy induced hypertension,and the premature rupture of membranes of the women with ART were the influencing factors for their preterm delivery.The BMI value,the number of pregnancies,and the premature rupture of membranes of the women with ART were the influencing factors for their newborn low birth weight(P<0.05).Conclusion:The occurrences of premature birth and low body weight of the newborn of the pregnant women with ART are affected by many factors,so the reasonable intervention measures should be formulated for these women according to the influencing factors to reduce the occurrence of the adverse outcomes of their newborn.
作者
何雪琴
李玲
王献
姜锋
HE Xueqin;LI Ling;WANG Xian;JIANG Feng(The Second Affiliated Hospital of PLA Air Force Medical University,Xi'an,Shaanxi Province,710038)
出处
《中国计划生育学杂志》
2023年第5期1042-1046,共5页
Chinese Journal of Family Planning
关键词
辅助生殖技术
早产
新生儿低体质量
危险因素
Assisted reproductive technology
Preterm delivery
Low birth weight of newborn
Risk factor
