孕产妇并发症及妊娠结局分析

Analysis of maternal complication and pregnancy outcomes

目的:通过海淀区危重孕产妇监测机构,了解孕产妇并发症以及妊娠结局情况,为辖区管理提供科学依据。方法:采用回顾性研究方法,资料来源于国家危重孕产妇监测信息管理系统(网络直报),分析分娩日期为2017年10月1日—2022年9月30的孕产妇并发症发生及妊娠结局情况。结果:7514例孕产妇并发症发生率为72.8%;近5年各季度、各年龄段、各类并发症发生率有差异(P<0.05);多因素logistic回归分析显示,产检≥8次(OR=0.490,95%CI 0.295~0.813)是孕产妇并发症的保护性因素,高龄产妇(OR=1.398,95%CI 1.218~1.605)是孕产妇并发症的危险因素。孕产妇并发症者不良妊娠结局中低体重儿、早产、剖宫产、巨大儿占比高于无并发症者(P<0.05)。结论:提倡适龄婚育,规律产检,及时发现孕产期孕产妇并发症,早干预、早治疗,避免孕产妇死亡和不良妊娠结局的发生。

Objective:To learn about the incidence of maternal complications and the pregancy outcomes of the women from the maternal surveillance institution,and to provide the scientific evidences for the district maternal management.Methods:A retrospective study conducted on the data from National Severe Maternal Surveillance Information Management System(reporting directly by network).The incidence of pregnancy-related complications and the pregnancy outcomes of the women who had delivered between October 1,2017and September 30,2022were analyzed.Results:The incidence of the pregnancy complications of the women in 7514cases was 72.8%.There were significant differences in the incidences of the all kinds of pregnancy complications in the last five years among the women in different quarters,and among the women with different age range(P<0.05).Multivariate Logistic regression analysis showed that the number of the antenatal examination≥8times of the women was the protective factor of their pregnancy complications(OR=0.490,95%CI 0.295-0.813).The maternal age≥35years old of the women was the risk factor of their pregnancy complications(OR=1.398,95%CI 1.218-1.605).The proportions of the adverse pregnancy outcomes,such as low body weight of the newborns,premature delivery,cesarean section,and macrosomia of the women with complications were significantly higher than those of the women without complications(P<0.05).Conclusion:The ageappropriate marriage and the antenatal care regularly of the women should be promoted,and the complications of the women during pregnancy and childbirth should be found timely,and the early intervention and treatment of these complications should be conducted,so as to avoid the occurrence of maternal death and the adverse pregnancy outcomes.