产妇年龄对某地初产孕妇单胎妊娠结局的影响因素浅析

Analysis of the Influencing Factors of Maternal Age on the Outcome of Single Pregnancy Among Primiparous Women in A Certain Area

目的 探讨某地2018-2021年单胎初产妇其年龄与妊娠结局的关系。方法 基于医保大数据平台回顾我院住院分娩并接受产后随访的单胎初产妇医疗数据,不同年龄组高危妊娠并发症发生率、围产期和产后并发症发生率。结果 产妇年龄的增加与比较高的收入和较高的肥胖率、罹患糖尿病高血压显著相关。产科并发症发生率包括妊娠期糖尿病、先兆子痫、前置胎盘、胎盘早剥、剖宫产与产妇年龄增加是相关的。产妇年龄与围产期疾病包括早产、低出生体重儿发病率相关。同时,风险分析结果显示,高龄产妇是产前住院、频繁门诊、产后再入院的风险因素,初产妇各种不良产科结果与高龄因素有关。结论基于高龄初产妇不良妊娠结局发生概率较高,临床应及时加强孕产妇监测,及早干预,从而降低不良妊娠结局发生率,保障孕产妇及新生儿健康。

Objective To investigate the relationship between age and pregnancy outcome of singleton primiparas from 2018 to 2021.Methods Based on the medical insurance big data platform,the medical data of single primiparas in our hospital who delivered in hospital and received postpartum follow-up were reviewed,as well as the incidence of high-risk pregnancy complications,perinatal and postpartum complications in different age groups.Results Increased maternal age was significantly associated with higher income and higher rates of obesity,diabetes and hypertension.The incidence of obstetric complications,including gestational diabetes,pre-eclampsia,placenta previa,placental abruption,and c-section,is associated with increased maternal age.Maternal age is associated with the incidence of perinatal diseases,including prematurity and low birth weight infants.At the same time,risk analysis results showed that advanced maternal age was a risk factor for prenatal hospitalization,frequent outpatient service and postpartum readmission,and various adverse obstetric outcomes of primiparas were related to advanced age.Conclusion Due to the high probability of adverse pregnancy outcomes in elderly primiparas,it is necessary to strengthen maternal monitoring and early intervention in clinical practice,so as to reduce the incidence of adverse pregnancy outcomes and ensure the health of maternal and newborn babies.