生育政策调整对二胎孕妇高危妊娠及其妊娠结局的影响

Birth Control Policy adjustment's Influence on High Risk Pregnancy and Pregnancy Outcome of Pregnancy Women with 2nd Parturition

目的:探讨生育政策调整对二胎孕妇高危妊娠及不良妊娠结局的影响。方法:回顾性分析济宁医学院附属医院产科2013年11月-2014年4月(465例,A组)、2014年11月-2015年4月(567例,B组)、2016年11月-2017年4月(1055例,C组)二胎产妇的临床资料,比较各组产妇的妊娠合并症/并发症、不良妊娠结局等情况。结果:C组二胎产妇构成比、高龄产妇构成比、妊娠期糖尿病发生率、剖宫产率、转入新生儿监护室(NICU)率均高于A、B组(P<0.05),妊娠期高血压疾病、前置胎盘发生率及瘢痕子宫比例、新生儿窒息率、巨大儿发生率高于A组(P<0.05)。结论:生育政策调整后,二胎生育高峰已经来临,其中不乏高龄产妇,高危妊娠及不良妊娠结局发生率均高于首次妊娠产妇,应加强"全面二孩"政策下的母婴保健工作,以保障母婴安全。

Objective：To explore the influence of birth control policy adjustment on high risk pregnancy and adverse pregnancy outcome of pregnancy women with 2nd parturition.Method：Clinical data of pregnancy women with 2nd parturition in obstetrics department of Affiliated Hospital of Jining Medical University were selected and retrospectively analyzed,465 cases from November 2013 to April 2014 were designed as group A,567 cases from November 2014 to April 2015 were designed as group B, and 1055 cases from November 2016 to April 2017 were designed as group C,the maternal complications and adverse pregnancy outcomes among above groups were compared.Result：Constituent ratio of pregnancy women with 2nd parturition and elderly parturient women,rates of gestational diabetes mellitus and cesarean section, admission to NICU in group C were all higher than those of group A and B（P〈0.05）.Rates of pregnancy induced hypertension,placenta previa,scar uterus,neonatal asphyxia and macrosomia in group C were all higher than that in group A（P〈0.05）.Conclusion：Baby boom of 2nd parturition is coming after birth control policy adjustment,including major elderly parturient women,high risk pregnancy and adverse pregnancy outcome of pregnancy are higher than that in the first parturition,so it should strengthen maternal and infant healthcare to guarantee their security under “overall 2nd parturition” policy.