流动人口早中孕期高危妊娠相关因素分析

Analysis of the high-risk pregnancy factors of the floating population with early and middle pregnancy

目的流动人口孕妇的高危妊娠管理是孕产妇系统管理的重点和难点。文中分析流动人口早中孕期高危妊娠因素,为制定流动人口高危孕妇保健措施提供参考依据。方法对2008年10月1日至2012年3月30日南京市玄武区流动人口早中孕期高危妊娠孕妇的资料进行回顾性分析。结果 746例流动人口早中孕期高危孕妇,出现高危妊娠因素924例次,排前5位的因素依次为:多次人流史(53.22%)、体重≥70 kg或<40 kg(19.03%)、妇科生殖器手术史(13.94%)、瘢痕子宫(9.52%)、妊娠合并卵巢肿瘤或子宫肌瘤(7.64%)。这些高危孕妇的顺产率(43.57%)低于同期流动人口正常孕妇(51.93%)(P<0.001)。结论流动人口早中孕期高危妊娠的主要危险因素为多次人流史、体重≥70 kg或<40 kg、妇科生殖器手术史、瘢痕子宫、、妊娠合并卵巢肿瘤或子宫肌瘤等。

Objective It is essential and difficult to manage the high-risk pregnancy among the floating population in mater- nal systematic management. The aim of this study is to provide references for formulating health care for the high-risk gravida among the floating population, their high-risk pregnancy factors in early and middle stage were analyzed. Methods The data of high-risk gravi- da in early and middle stage pregnancy among the floating population from October 1,2008 to March 30, 2012 were retrospectively an- alyzed. Results The cases of high-risk gravida in early and middle stage pregnancy among the floating population were 746 and the times of high-risk pregnancy factors were 924. The top five factors were： multiple artificial abortion （53.22%）, weight≥70kg or 〈40 kg （ 19.03% ）, gynecological history of genital surgery （ 13.94% ）, scar uterus （9.52%）, and pregnancy associated with ovarian ne- oplasms or uterine fibroids （7.64%）. The spontaneous delivery rate of high-risk gravida （43.57%） was lower than that of normal gravida（51.93 % ） （P 〈 0. 001 ） in the corresponding period. Conclusion Risk factors of high-risk pregnancy for floating population women mainly include multiple artificial abortion, weight （ ≥ 70 kg or 〈 40 kg）, gynecological history of genital surgery, scar uterus and pregnancy associated with ovarian neoplasms or uterine fibroids.