孕产妇产前检查次数与产妇妊娠结局关系探讨

A study on appropriate frequency of prenatal examination for pregnant women with pregnancy outcome.

目的探讨在合肥市目前医疗服务水平下，孕产妇合理的产前检查次数。方法抽取合肥市2006年1月1日～2006年12月31日期间在合肥市区医疗机构分娩的住院分娩孕产妇2338例的《孕产妇保健手册》资料，比较不同产前检查次数孕产妇的不良妊娠结局发生水平。结果不同产前检查次数，不良妊娠结局发生率差异有统计学意义（P〈0．05）；产前检查7～9次组不良妊娠结局发生率低于产前检查次数少于7～9次的组别（P〈0．05）；产前检查7—9次组不良妊娠结局发生水平与产前检查次数多于7～9次组比较无显著性差异（P〉0．05）。结论在合肥市区现有产前保健水平下，孕产妇产前检查7～9次较为合理。

Objective To determine an appropriate frequency of prenatal examination for pregnant women under current health care conditions at Hefei. Methods The clinical data of 2 338 pregnant women of ＂Maternal health handbook＂ data delivered in Hefei city from January 1 to December 31 in the year 2006 were analyzed adverse pregnancy outcomes in the group of pregnant women with different frequency of prenatal examination were compared. Results The incidences of adverse pregnancy outcomes in the group of pregnant women with 7 - 9 times of prenatal examination were lower than those in the group of pregnant women with less than 7 -9 times of prenatal examination（ P 〈 0.05 ）. While there were no significant differences in incidences of adverse pregnancy outcomes between the group of pregnant women with 7 - 9 times of prenatal examination and the group of pregnant women with more than 7 - 9 times of prenatal examination （ P 〉 0.05 ）. Conclusion Under current prenatal care conditions in Hefei city,7 -9 times of frequency of prenatal examination for pregnant women is reasonable.