高危妊娠产妇产前检查危险因素与预防

High-risk Pregnancy Maternal Prenatal Risk Factors and Prevention

目的探讨影响高危妊娠产妇产前检查危险因素,针对因素进行预防。方法选择2012-01—2013-12间中山市东升医院门诊、住院诊治高危妊娠产妇894例为研究对象,采用自制问卷调查产妇一般情况,分析影响高危妊产妇产前检查危险因素,并根据危险因素进行探讨预防措施。结果单因素分析得年龄为30~40岁、文化程度低、居住农村、流动人口、经济收入低、交通不便利及对医院不信任高危妊娠产妇产前检查次数显著较其他高危产妇显著减少（P〈0.05）。经Logistic回归分析得出,年龄、文化程度、居住地、居住方式、经济收入、交通便利及对医院信任程度等为影响高危产妇产前检查次数危险因素。结论影响高危妊娠产妇产前检查危险因素较多,包括年龄、文化程度、居住地、居住方式、经济收入、交通不便利及对医院不信任,临床中针对危险因素进行预防为提高高危妊娠产妇产前检查关键。

Objective To investigate the effect of high- risk pregnancy maternal prenatal risk factors and prevention. Methods Selecting 894 high- risk pregnant women from January,2012 to December,2013 in the hospital outpatient,inpatient diagnosis and treatment for the study,using maternal general self- questionnaires,analyzing high- risk pregnant women prenatal risk factors,and to exploring the risk factors based on precaution. Results Univariate analysis was done among aged 30 to 40,low educational level,living in rural areas,the floating population,low income,incovenient traffic and hospitals do not trust high- risk pregnancy,maternal prenatal frequency significantly significantly reduced（ P〈0. 05 compared with other high- risk women）. After Logistic regression analysis,age,education level,place of residence,way of living,income,transport facilities and the hospital trust are high- risk prenatal maternal risk factors. Conclusion Effect of high- risk pregnancy has more maternal prenatal risk factors,including age,education level,place of residence,way of living,income,incovenient transportation,and mistrust of the hospital. Prevention against the risk factors can improve maternal prenatal risk pregnancy.