深圳市外来工孕产妇贫血对妊娠的影响

Influence of Maternal Anaemia on Pregnancy of Peasant-worker Women in Shenzhen City

目的评估深圳市部分外来工孕产妇贫血状况。方法回顾性分析1005名外来工孕产妇分娩结局等,调查内容填入统一调查表格,并对相关数据进行统计分析。结果孕早期、孕中期、孕晚期、产后贫血发病率分别为:20.8%、23.2%、27.9%、41.1%;产前贫血产妇产后出血和产后贫血的发生率分别为15.3%、100.0%,高于血红蛋白(Hb)正常组的7.8%、10.0%(P<0.05);产前贫血产妇孕周、早产发生率及新生儿体重分别是(39.3±3.1)周、10.2%、(2617.9±216.3)g,Hb正常组则分别是(39.9±4.2)周、4.7%、(3354.4±179.9)g,早产发生率两组间也存在明显差异(P<0.05)。结论深圳市部分外来工孕产妇存在较严重的贫血,需引起重视,并进行积极干预。

Objective To evaluate the maternal anaemia status of peasant-worker pregnant women in Shenzhen. Methods The general status and delivery consequences of 1 005 peasant-worker pregnant women were investigated retrospectively and analyzed statistically. Results The anaemia incidence of these pregnant women in the early trimester, mid trimester and late trimester of pregnancy and postpartum were 20.8% ,23.2% ,27.9% and 41.1% respectively;the incidence of postpartum hemorrhage and a- naemia were 15.3% and 100.0% in parturients with prepartum anaemia,which were higher than those（7.8% and 10.0% ） in gravidas with normal Hb （ P 〈 0.05 ）. The pregnancy weeks, premature delivery rate and newborn weight in prepartum anaemia group were （39.3 ± 3.1 ） weeks, 10.2% and （ 2 617.9 ± 216.3 ） g respectively, while the control group were （ 39.9 ± 4.2 ） weeks,4.7% and （3 354.4 ± 179.9） g. There was significance difference in the premature delivery rate between the two gornps （P 〈 0.05 ）. Conclusion A portion of peasant-worker gravidas in Shenzhen city were with severer anaemia,which should be attached more importance and intervened actively.