产前检查与保健对妊娠结局影响分析

Effect analysis of prenatal examination and health care on pregnancy outcomes

目的分析产前检查与保健对妊娠结局的影响。方法对2012年1月-2014年12月在新疆喀什疏附县人民医院产科分娩的孕产妇3000例进行回顾性分析,以在门诊产前检查与保健≥5次的孕产妇1450例为干预组,无产检或产前检查与保健<5次的1550例孕产妇作为未干预组,比较两组孕产妇并发症、分娩方式和围产儿结局。结果干预组的孕期体重增长过多、子痫前期重度、贫血、胎位异常、急诊剖宫产、新生儿畸形、巨大儿、低出生体重儿的发生率均低于未干预组,两组比较差异有统计学意义(P<0.05)。结论规范的产前检查与保健,可及时发现异常并处理,降低母婴并发症的发生率。

Objective To analyze the effects of prenatal examination and health care on maternal and neonatal outcomes.Methods Retrospective analysis method was used in this study,3000 cases delivered in Xinjiang Kashi Shufu People＇s hospital from January 2012 to December 2014 were selected,1450 cases of prenatal examination and health care ≥ 5 times were selected as intervention group,1550 cases of prenatal examination or health care 5 times were selected as non-intervention group,the maternal complications,delivery mode,maternal and neonatal outcomes were compared between the two groups. Results Compared with nonintervention group,intervention group had lower incidence of excessive weight during pregnancy,serious preeclampsia,anemia,abnormal fetal position,emergency cesarean section,neonatal malformations,macrosomia,low birth weight infants,and the difference was statistical significance respectively（ P 0. 05）. Conclusions Standardized prenatal examination and health care can find disordered problem and treat timely,which can reduce the incidence of maternal and neonatal complications.