1250对再生育夫妇生育风险调查分析

Survey analysis of reproductive risk in 1 250 re-fertile couples

目的描述再生育人群主要生育风险因素,为孕前、孕期优生指导提供依据。方法采用整群抽样的方法,对项目点1250对再生育夫妇进行问卷调查,利用SPSS17.0统计学软件对资料进行分析。结果①年龄在35岁以上母亲有307人(24.56%),父亲有296人(23.68%)。②父母接触有毒有害物质的比例分别为5.44%和6.16%,排在首位的是接触农药;育龄夫妇有烟酒嗜好者分别占调查人数的44.00%和1.12%。③第一胎是病残儿的人群中,75.86%(88/116)的母亲有畸形儿生产史;第一胎是健康的人群中,仅0.26%(3/1134)的母亲有畸形儿生产史(P<0.05)。结论部分再生育夫妇申请生育二胎时年龄偏大,男性有烟酒嗜好者占较高的比例,应加强对有畸形儿生产史的母亲的再生育指导。

Objective To understand the fertility risk factors among the re - fertile couples, and to provide the basis of the guidance of the eugenics for pregnancy. Methods Self - assessment questionnaire were used for investigation among 1 250 re - fertile couples from Project sites by cluster sampling method. The data was analyzed by SPSS 17.0 statistical software. Results （1）The results showed 307 females （24. 56% ） and 296 males （23.68%） aged over 35 years old. （2）The proportion of exposure to toxic and harmful material among parents accounted for 5.44% and 6. 16% respectively and the rate of contacting pesticides was the first place. About 44. 00% fathers and 1.12% mothers had tobacco and alcohol addiction. （3）The proportion of women with the history of birth defects （75.86%） was higher than those without the history of birth defects（0. 26% ） and the significant difference was observed between them （X2 = 890. 987,P 〈 0. 05 ）. Conclusion Part of the re - fertile couples would be in elder agewhen applying for the second child, and fathers with tobacco and alcohol addiction could account for a higher proportion. The guidance for the re -fertility mothers deformed children production history must be strengthened.