2014—2016年上海市松江区孕产妇状况分析

Current situation analysis on pregnant women in Songjiang District in 2014—2016

目的探讨生育政策调整前后松江区孕产妇在孕期保健及妊娠结局方面的差异,为更好地保障母婴健康提供依据。方法收集2014—2016年在松江区妇幼保健院分娩的27 862例孕产妇的孕期情况,分析其妊娠结局。结果 3年间,低龄孕产妇从0.69%降至0.34%,高龄孕产妇从5.16%升至9.99%;因"前次剖宫产"行再次剖宫产的比例从29.42%升至43.52%;先兆子痫及子痫、妊娠期糖尿病、妊娠期贫血及产后出血的患病率都有所上升。结论随着生育政策的调整,累积生育需求集中释放,高龄孕产妇比例增加,妇幼健康的服务质量和服务资源面临新的挑战。

Objective To explore the diferences in pregnancy care and pregnancy outcomes in thepregnant women before and after tlie adjustment of fertility policy, and to provide a basis for beter protection of maternal and child health. Methods Atotal of 27 862 cases were collected in Songjiang District MCHduring 2014-2016, and the pregnancy outcomes of these pregnant women were analyzed. Results It was found that during the 3 years the young pregnant women dropped in number from 0. 69% to 0. 34% and the elder ones rose from 5. 16% to 9. 99% ＊ the proportion of repeated C-section due to “ previous C-section” rose from 29. 4% to 43. 52% ; the proportions rose of preeclampsia and eclampsia, gestationalgestational anemia and postpartum hemorrhage. Conclusion With the adjustment of fertility policy,cumulative release of demand for fertility, the proportion of elderly maternal age is incrservice quality and service resources for maternal and child health are facing newchallenges