不同产次、年龄孕妇妊娠并发症发生情况及妊娠结局分析

Analysis of pregnancy complications and pregnancy outcomes in pregnant women of different production time and ages

目的分析不同产次、年龄孕妇妊娠并发症的发生情况及妊娠结局。方法选择2017年1月~2019年12月山东省沂南县人民医院收治的10300例孕妇为研究对象。根据产次将其分为初产妇组(3535例),经产妇组(6765例);根据年龄将其分为<25岁组(1296例),25~30岁组(2581例),>30~35岁组(3976例),>35~40岁组(1795例),>40岁组(652例)。比较不同产次、年龄孕妇妊娠期高血压疾病(HDCP)、妊娠期糖尿病(GDM)、胎膜早破(PROM)、胎儿宫内生长受限(FGR)、前置胎盘等妊娠并发症的发生情况及妊娠结局。结果不同年龄组HDCP、GDM、PROM、FGR、前置胎盘、羊水过少发生率比较,差异均有统计学意义(均P<0.05)。不同年龄组剖宫产率及围生儿死亡、早产、新生儿窒息、巨大儿、产后出血发生率比较,差异均有统计学意义(均P<0.05)。经产妇组HDCP、GDM、PROM发生率高于初产妇组;FGR发生率低于初产妇组,差异均有统计学意义(均P<0.05)。两组前置胎盘、羊水过少发生率比较,差异无统计学意义(P>0.05)。经产妇组早产、剖宫产、新生儿窒息、巨大儿发生率高于初产妇组,差异均有统计学意义(均P<0.05)。两组围生儿死亡、产后出血发生率比较,差异无统计学意义(P>0.05)。结论不同产次、年龄孕妇妊娠并发症及妊娠结局不同。对于高龄产妇应加大孕期保健、产前筛查力度,做好孕期保健及健康教育,进一步降低妊娠并发症发生率,改善妊娠结局。

Objective To analyze the pregnancy complications and pregnancy outcomes in pregnant women of different production time and ages.Methods From January 2017 to December 2019,10300 pregnant women admitted to the People’s Hospital of Yi’nan County,Shandong Province were selected as research objects.According to the production time,they were divided into primipara group(3535 cases)and multipara group(6765 cases);according to the age,they were divided into<25 years old group(1296 cases),25-30 years old group(2581 cases),>30-35 years old group(3976 cases),>35-40 years old group(1795 cases),and>40 years old group(652 cases).The incidence of pregnancy complications and pregnancy outcomes in pregnant women of different production time and ages,such as hypertensive disorder complicating pregnancy(HDCP),gestational diabetes mellitus(GDM),premature rupture of fetal membranes(PROM),fetal growth restriction(FGR),placenta previa,etc.were compared.Results The incidence of HDCP,GDM,PROM,FGR,placenta previa,and oligohydramnios in different age groups were statistically significant(all P<0.05).Cesarean section rate and the incidence of perinatal death,premature delivery,neonatal asphyxia,macrosomia and postpartum hemorrhage in different age groups were statistically significant(all P<0.05).The incidence of HDCP,GDM and PROM in multipara group were higher than those in pluripara group,while the incidence of FGR was lower than that in primipara group,and the differences were statistically significant(all P<0.05).There were no significant difference in the incidence of placenta previa and oligohydramnios between two groups(P>0.05).The incidence of preterm birth,cesarean section,neonatal asphyxia and macrosomia in multipara group were higher than those in primipara group,and the differences were statistically significant(all P<0.05).There were no significant differences in the incidence of perinatal death and postpartum hemorrhage between two groups(P>0.05).Conclusion Pregnancy complications and pregnancy outcomes are different in pregnant women of different production time stages and ages.In order to further reduce the incidence of pregnancy complications and improve the pregnancy outcome,it is necessary to strengthen pregnancy care and prenatal screening,and do a good job in pregnancy care and health education.