河北省产妇围生期合并症/并发症发生情况分析

Analysis of Perinatal Complications and Comorbidities in Hebei Province

目的了解2016年河北省产妇围生期合并症/并发症的发生情况,并探讨其影响因素,以为有关部门提供制定优生、优育的科学依据。方法通过河北省妇幼保健中心产妇监测信息管理系统(网络直报),收集2016-01-01至2016-12-31在河北省各地22个监测点(医院)共64 966例住院产妇的资料信息。采用全国妇幼卫生监测办公室设计的中国产妇医院监测《产妇个案调查表》进行信息收集。分析2016年河北省产妇围生期合并症/并发症发生情况,并分析其相关影响因素。结果 2016年河北省产妇围生期合并症/并发症发生率为52.3%(33 986/64 966),其中妊娠合并贫血发生率为36.8%(23 936/64 966),位于第1位;其次为妊娠合并糖尿病、妊娠期高血压疾病,发生率依次为5.3%(3 461/64 966)、5.1%(3 329/64 966);产后出血发生率为0.4%(283/64 966),其他围生期合并症/并发症发生率为4.6%(2977/64 966)。多因素Logistic回归分析结果显示,年龄、孕次、产次、文化程度、居住地、分娩季节是产妇出现妊娠合并贫血的影响因素(P<0.05);年龄、产次、文化程度、居住地是产妇出现妊娠合并糖尿病的影响因素(P<0.05);年龄、产次、文化程度、居住地、分娩季节是产妇出现妊娠期高血压疾病的影响因素(P<0.05);年龄、文化程度、居住地是产妇出现产后出血的影响因素(P<0.05)。结论河北省产妇围生期合并症/并发症发生率在国内属于较高水平,年龄、孕次、产次、文化程度、居住地、分娩季节均对产妇围生期各种合并症/并发症有不同程度的影响。

ObjectiveTo understand the perinatal complications and comorbidities in maternal women in Hebei Province in 2016,and explore the influencing factors,in order to provide a scientific basis for policy-making regarding prenatal and postnatal care.MethodsData on 64 966 maternal women from 22 monitoring sites（hospitals） in Hebei Province collected from 2016-01-01 to 2016-12-31 were gathered through the Maternal and Child Health Monitoring Information Management System of Hebei Province（Network Direct Report）.The data were collected with the ＂Maternal Case Survey Form＂ designed by the China Maternal and Child Health Monitoring Office.The perinatal complications/comorbidities,and the factors influencing them,were analyzed.ResultsThe incidence of perinatal complications/comorbidities in Hebei Province was 52.3%（33 986 /64 966） in 2016.The incidence of pregnancy anemia was 36.8%（23 936/64 966）,which ranked first in all complications/comorbidities and was followed by pregnancy diabetes mellitus and pregnancy hypertension,whose incidence rates were 5.3% （3 461/64 966） and 5.1%（3 329/64 966）,respectively.The incidence of postpartum hemorrhage was 0.4%（283/64 966）, and that of other complications/comorbidities was 4.6%（2 977/64 966）.Multivariate Logistic regression analysis showed that age,pregnancy number,number of labor,education level,place of residence,and delivery season were the factors influencing pregnancy anemia（P〈0.05）;age,number of labor,education level,and place of residence were the factors influencing pregnancy diabetes（P〈0.05）;age,number of labor,education level,place of residence,and delivery season were the factors influencing pregnancy hypertension（P〈0.05）;age,education level,and place of residence were the factors influencing postpartum hemorrhage（P〈0.05）.ConclusionThe incidence of perinatal complications and comorbidities in Hebei Province is relatively high.Age,number of pregnancy,number of labor,education,place of residence,and delivery season influence perinatal complications/comorbidities.