早产相关因素施行早期围产保健1524例分析

The implementation of early perinatal health care according to the related factors of premature and its significance

目的探讨针对早产相关因素施行早期围产保健的意义。方法选取2006年4月-2008年5月在我院住院的2859例孕产妇。其中,以2007年5月-2008年5月赵县建立孕产妇管理系统,实施早期围产保健的1524例孕产妇作为观察组,以2006年4月-2007年4月未实施早期围产保健的1335例孕产妇作为对照组。比较两组孕妇的早产发生情况,分析早产相关因素。结果观察组的早产发生率明显低于对照组（P〈0.01）。胎膜早破、多胎及前置胎盘是发生早产的主要原因。结论早产主要与胎膜早破、多胎及前置胎盘相关,针对早产相关因素施行早期围产保健可以明显降低早产发生率,保证孕妇安全分娩。

Objective To explore the implementation of early perinatal health care according to the related factors of premature and its significance. Methods 2859 pregnant and parturient women hospitalized from April 2006 to May 2008 were chosed to take part in our study. Among them, 1524 women （May 2007 to May 2008） given perinatal health care were taken as the observed group, 1335 women （April 2006 to April 2007） not given perinatal health care were eonsiderdd to be the control group. The premature status of parturient women were compared between two groups, the related factors of premature were analyzed. Results The incidence of premature for the observed group was significantly lower than the control group（ P〈0.01 ）. Premature rapture of membranes, multiple pregnancies and placenta previa were the main reasons for the premature of this group. Conclusion Premature is related to premature rupture of membranes, multiple pregnancies and placenta previa. Early perinatal health care can be significantly reduced the incidence of premature, to ensure the safe delivery of parturient women.