彭浦社区高危妊娠状况分析

Analysis of high-risk pregnancy in Pengpu Community

目的调查分析彭浦社区建册孕妇中高危孕妇所占比率、高危因素情况及转归、分娩结局;为做好社区育龄妇女的计划生育、孕前保健各项工作提供依据。方法对预产期在2005年1月至2011年11月来本社区建孕妇手册的孕妇4 003名进行高危因素和妊娠结局的分析。结果筛查出高危孕妇918名(22.93%)。沪籍高危孕妇发病率占75.38%(692名),高于非沪籍高危孕妇发病率的24.62%(226名,x^2=4.73,P<0.05)。高危因素排名前6位为身体质量指数≥24kg/m^2、流产≥2次、年龄≥35岁、疤痕子宫、双胎、子宫肌瘤。高危孕妇剖宫产率(64.60%)明显高于非高危孕妇剖宫产率(58.57%,x^2=10.76,P<0.05)。结论加强对育龄妇女的计划生育、孕前保健知识宣传,可有效地降低高危孕妇的发生率及剖宫产率,减少不良妊娠结局的发生。

Objective To investigate the proportion of high-risk pregnant women in registered pregnant women in Pengpu community , risk factors and pregnant outcomes , so as to provide basis for family planning and progestation health care for women of childbearing age . Methods The high risk factors and pregnant outcomes of 4 003 pregnant women registered in the community were analyzed , whose expected date of delivery was in the period of January 2005 to November 2011.Results Totally 918 （22.93%） high risk pregnant women were screened out.High risk pregnant women of Shanghai occupied 75.38%（692）, which was higher than non-Shanghai population （24.62%） （226,χ^2 =4.73,P〈0.05）.The top 6 risk factors were BMI ≥24kg/m^2, abortion times≥2, age of over 35 years, scar uterus, twin pregnancy and uterine fibroids in turn .The cesarean section rate of high risk pregnancy （64.60%） was significantly higher than that of non-risk pregnancy （58.57%） （χ^2 =10.76,P〈0.05）.Conclusion Strengthening propaganda on family planning and pregestation health care for women of childbearing age can effectively reduce the incidence rate of high risk pregnancy and cesarean section rate , and can reduce the occurrence of adverse pregnancy outcomes .