早产相关危险因素的调查分析

The survey analysis of risk factors for preterm delivery

目的:探讨早产的高危因素,为控制早产的发生提供依据。方法:采用随机抽样的方法对蚌埠市初一、初二学生的母亲进行问卷调查,项目包括孕期、孕前危险因素及家庭一般状况。运用χ2检验和多因素Logistic回归分析早产与孕期、孕前高危因素的关系。结果:早产率为5.90%;早产的主要危险因素有母亲生育年龄≥30岁、孕期感染性疾病、妊娠高血压、胎膜早破、孕前两年月经不规则及母亲职业为工人、教师、医务、技术人员。结论:预防早产应从孕前、孕期和产前开始。

Objective：To investigate the risk factors for premature delivery. Methods： Mothers whose children were grade one or two students at junior middle school in Bengbu city were investigated by use of questionnaire, in which the period of pregnancy, presence of high risk before pregnancy and family general conditions were included. The relations between premature delivery and its related factors were analyzed by chi-square test and multiple logistic regression. Results：The premature delivery rate was 5.90%, chi-square test and multiple logistic regression showed that the main risk factors were mother delivery age ≥ ears old, pregnancy infectious diseases, pregnancy induced hypertension, premature rupture mernbranes and irregular menses period before pregnancy 2 years. Conclusions： Preventing premature delivery should start before pregnancy, during pregnancy and before childbirth.