2010年承德市住院孕产妇不良妊娠结局的回顾

The Retrospective of Preterm Birth Outcomes and Macrosomia Pregnancy in Hospital of Chengde in 2010

目的:分析我市2010年住院孕产妇不良妊娠结局的发生情况,总结相关因素,为预防不良妊娠发生建立模型提供依据。方法:回顾性分析我市2010年1月1日至2010年12月31日三家医院收治的生育年龄女性妊娠结局(共4966例)。探讨不良妊娠结局与年龄、民族、职业、居住地、产前检查等关系。结果:巨大胎儿是不良妊娠结局的最主要类型,不同职业、不同居住地的巨大儿发生率差异有统计学意义。其次为早产,不同年龄、不同民族、不同职业、不同居住地的早产发生率差异均有统计学意义。结论:承德市不良妊娠结局的监测和预防工作重点应着眼于早产、巨大胎儿。女性应选择适当的怀孕年龄,尽量减少不良妊娠结局的发生。未按时规律产检可能是居住郊县、无业、农民出现巨大胎儿及早产的原因之一。

Objective：To analyze the maternal adverse pregnancy outcomes in 2010, and summarize the related factors to provide basis for the prevention of adverse pregnancy. Methods： The outcomes of 4966women of pregnancy in childbearing age admitted in three hospitals from January 1 in 2010 to December 31 in 2010 were analyzed retrospectively. The relationship between adverse pregnancy outcomes and age, nationali-ty, occupation, residence, antenatal examination were investigated. Results：Macrosomia was the main type of adverse pregnancy outcomes, whose incidence rate difference was statistically meaningful according to different careers and places to live in. Followed by premature birth, whose incidence rate difference was statistically meaningful according to different age, different nationalities, different careers, different residence as well. Conclusion：Adverse pregnancy outcome monitoring and prevention should focus on preterm birth and macro-somia in Chengde. Women should choose appropriate pregnant age, trying to reduce the occurrence of adverse pregnancy outcomes. To those people who live in suburban county, are unemployed and farmers. It may be one of the reasons for the premature fetus to have irregular prenatal on time.