二胎孕产妇妊娠结局及相关因素分析

Pregnancy outcome and related factors analysis among pregnant women during second child pregnancy

目的探讨二胎孕产妇妊娠结局及相关因素。方法收集杭州市妇产科医院2016年某病区分娩的2180例非双胎孕产妇,根据产次分为二胎组(688例)和一胎组(1492例),回顾性分析两组孕产妇的年龄、剖宫产率、妊娠合并症及早产儿、足月小样儿、巨大儿、低体重儿、胎儿畸形的发生情况。结果二胎组年龄、早产儿、剖宫产率、妊娠合并高脂血症、妊娠期高血压的发病率高于一胎组,且两组差异有统计学意义(P<0.05)。结论二孩政策开放后,二胎孕产妇明显增多,且分娩并发症明显增加,加强对二胎孕产妇的围产保健管理,减少并发症的发生,保障母婴安全。

Objective：To explore the related factors and pregnancy outcome among pregnant women during second child pregnancy. Methods：A total of 2180 pregnancy women were included in the study of one area of Hangzhou Obstetrics and Gynecology Hospital,excluding pregnant women with twin pregnancies. According to the parity,there were 1492 primipara pregnant women and 688 pregnant women with second baby. A retrospective analysis was made on the incidence of fetal stillbirth,macrosomia,low birth weight infant,preterm labor,and small for gestational age infant,caesarean delivery rate,the mother′s age,and pregnancy complications between two groups. Results：The mother′s age,incidence rate of preterm labor,caesarean delivery rate,and pregnancy complications in the second fetal group were higher than that in the control group,and the difference between the two groups was statistically significant（P〈0.05）. Conclusion：After the opening policy of the second child,two maternal significantly increased,and obviously increased the childbirth complications. It is necessary to enhance the second child among of maternal health care management,reduce complications. Ensure the security of maternal and infant,and improve population quality is our goal.