Summary What is already known about this topic?In recent years,there has been a significant increase in the proportion of women of advanced maternal age(AMA),accompanied by a rise in adverse pregnancy outcomes in cert...Summary What is already known about this topic?In recent years,there has been a significant increase in the proportion of women of advanced maternal age(AMA),accompanied by a rise in adverse pregnancy outcomes in certain regions of China.What is added by this report?From 2016 to 2022,there was an observed increase in the proportion of AMA,educational levels,and incidences of preterm birth and low birth weight(LBW)in both primiparous and multiparous women.Concurrently,there was a declining trend in the rate of cesarean deliveries and the incidence of macrosomia among multiparous women.What are the implications for public health practice?In addition to focusing on health management for AMA individuals,proactive steps should be undertaken to enhance the quality of medical services and promote childbirth at optimal ages,thereby reducing the incidence of adverse pregnancy outcomes.展开更多
What is already known about this topic?Anemia during pregnancy is a global public health problem affecting both maternal and children’s health.The“National Nutrition Plan(2017–2030)”and“Healthy China Action(2019...What is already known about this topic?Anemia during pregnancy is a global public health problem affecting both maternal and children’s health.The“National Nutrition Plan(2017–2030)”and“Healthy China Action(2019–2030)”issued by the State Council of China in 2017 and 2019,respectively,specified nutrition targets:by 2030,the anemia rate in pregnant women should be reduced to less than 10%.The anemia prevalence of pregnant women reported by the Chinese Nutrition and Health Surveillance in 2006 and 2010–2012 was 42.0%and 17.2%,respectively.What is added by this report?Past surveillance in 2010–2012 did not divide pregnant women by gestation week,and the sample size was only 4,315 cases.In this study,the information of 206,753 registered pregnant women from their first antenatal care(ANC)examination to childbirth was collected from 2014 to 2018.The overall prevalence of anemia among pregnant women was 41.98%.What are the implications for public health practice?The overall prevalence of anemia among pregnant women in the monitoring areas was high,far from the target of 10%.Anemia remains a serious health problem among pregnant women in China.It is urgent to develop effective strategies and take measures to reduce the prevalence of anemia in China.展开更多
Summary What is already known about this topic?As a major cause of maternal and neonatal mortality and morbidity,hypertensive disorders of pregnancy(HDP)are a global public health problem affecting maternal and child...Summary What is already known about this topic?As a major cause of maternal and neonatal mortality and morbidity,hypertensive disorders of pregnancy(HDP)are a global public health problem affecting maternal and children’s health.What is added by this report?The incidence of HDP was 6.40%among 277,632 pregnant women.With the progress of pregnancy,the proportion of pregnant women with high normal blood pressure(BP)and the incidence of HDP increased gradually.The incidence of HDP increased with pregnancy age,body mass index,and BP of pregnant women during first trimester.What are the implications for public health practice?To reduce the incidence of HDP effectively,we should pay more attention to older women who plan to become pregnant,measures should be taken to control BP and weight in pre-pregnancy.展开更多
What is already known about this topic?Several studies have reported that maternal antenatal intention to breastfeed is a strong predictor of actual breastfeeding duration.However,little research has investigated whet...What is already known about this topic?Several studies have reported that maternal antenatal intention to breastfeed is a strong predictor of actual breastfeeding duration.However,little research has investigated whether maternal postpartum intention also extends breastfeeding duration.What is added by this report?Maternal postpartum intention to breastfeed was a protective factor for extending actual breastfeeding duration after controlling potential confounders.What are the implications for public health practice?It is crucial to address and promote intrinsic and extrinsic factors that influence a mother’s intention to breastfeed after delivery,thereby extending the actual breastfeeding duration.展开更多
What is already known on this topic?Based on different pregnancy risk levels,the implementation of the“Five-Color Management”for pregnant women can prevent adverse pregnancy outcomes and ensure the safety of mothers...What is already known on this topic?Based on different pregnancy risk levels,the implementation of the“Five-Color Management”for pregnant women can prevent adverse pregnancy outcomes and ensure the safety of mothers and infants.What is added by this report?The proportions of being multipara and of advanced maternal age in the 4 cities(Beijing,Chengdu,Shenzhen,and Wuhan)were 47.4%and 13.3%,respectively.The proportions of“Yellow and above”pregnancy risk ranged from 54.5%to 65.0%and ranged from 7.4%to 16.3%for“Orange and above”pregnancy risk.Among women with“Orange and above”pregnancy risk,most of them gave birth in public tertiary institutions(71.8%–79.4%).What are the implications for public health practice?The implementation of the“Five-Color Management”for pregnant women with different pregnancy risks should be strengthened,especially those with“Orange and red”pregnancy risk who should be hospitalized for delivery in tertiary medical institutions if they have conditions.展开更多
What is already known on this topic?Due to shifting circumstances in China,the government has adjusted the child-bearing policy to allow couples to have a second child.This has affected the total number of live births...What is already known on this topic?Due to shifting circumstances in China,the government has adjusted the child-bearing policy to allow couples to have a second child.This has affected the total number of live births,especially in more developed urban areas.What is added by this report?The total number of live births in the 4 monitoring cities including Chengdu,Wuhan,Shenzhen,and Beijing during 2014–2019 increased by 33.0%,20.3%,10.7%,and 8.2%,respectively.From 2014 to 2017,the proportion of total live births that were policy related increased in each city:Chengdu(2.0%to 35.0%),Wuhan(1.0%to 25.1%),Shenzhen(0.6%to 39.4%),and Beijing(3.1%to 30.2%).What are the implications for public health practice?Our results showed that the implementation of the new adjusted family planning policy alleviated the downward trends in total live births and is unlikely to lead a baby boom as estimated by previous studies.展开更多
文摘Summary What is already known about this topic?In recent years,there has been a significant increase in the proportion of women of advanced maternal age(AMA),accompanied by a rise in adverse pregnancy outcomes in certain regions of China.What is added by this report?From 2016 to 2022,there was an observed increase in the proportion of AMA,educational levels,and incidences of preterm birth and low birth weight(LBW)in both primiparous and multiparous women.Concurrently,there was a declining trend in the rate of cesarean deliveries and the incidence of macrosomia among multiparous women.What are the implications for public health practice?In addition to focusing on health management for AMA individuals,proactive steps should be undertaken to enhance the quality of medical services and promote childbirth at optimal ages,thereby reducing the incidence of adverse pregnancy outcomes.
文摘What is already known about this topic?Anemia during pregnancy is a global public health problem affecting both maternal and children’s health.The“National Nutrition Plan(2017–2030)”and“Healthy China Action(2019–2030)”issued by the State Council of China in 2017 and 2019,respectively,specified nutrition targets:by 2030,the anemia rate in pregnant women should be reduced to less than 10%.The anemia prevalence of pregnant women reported by the Chinese Nutrition and Health Surveillance in 2006 and 2010–2012 was 42.0%and 17.2%,respectively.What is added by this report?Past surveillance in 2010–2012 did not divide pregnant women by gestation week,and the sample size was only 4,315 cases.In this study,the information of 206,753 registered pregnant women from their first antenatal care(ANC)examination to childbirth was collected from 2014 to 2018.The overall prevalence of anemia among pregnant women was 41.98%.What are the implications for public health practice?The overall prevalence of anemia among pregnant women in the monitoring areas was high,far from the target of 10%.Anemia remains a serious health problem among pregnant women in China.It is urgent to develop effective strategies and take measures to reduce the prevalence of anemia in China.
文摘Summary What is already known about this topic?As a major cause of maternal and neonatal mortality and morbidity,hypertensive disorders of pregnancy(HDP)are a global public health problem affecting maternal and children’s health.What is added by this report?The incidence of HDP was 6.40%among 277,632 pregnant women.With the progress of pregnancy,the proportion of pregnant women with high normal blood pressure(BP)and the incidence of HDP increased gradually.The incidence of HDP increased with pregnancy age,body mass index,and BP of pregnant women during first trimester.What are the implications for public health practice?To reduce the incidence of HDP effectively,we should pay more attention to older women who plan to become pregnant,measures should be taken to control BP and weight in pre-pregnancy.
文摘What is already known about this topic?Several studies have reported that maternal antenatal intention to breastfeed is a strong predictor of actual breastfeeding duration.However,little research has investigated whether maternal postpartum intention also extends breastfeeding duration.What is added by this report?Maternal postpartum intention to breastfeed was a protective factor for extending actual breastfeeding duration after controlling potential confounders.What are the implications for public health practice?It is crucial to address and promote intrinsic and extrinsic factors that influence a mother’s intention to breastfeed after delivery,thereby extending the actual breastfeeding duration.
文摘What is already known on this topic?Based on different pregnancy risk levels,the implementation of the“Five-Color Management”for pregnant women can prevent adverse pregnancy outcomes and ensure the safety of mothers and infants.What is added by this report?The proportions of being multipara and of advanced maternal age in the 4 cities(Beijing,Chengdu,Shenzhen,and Wuhan)were 47.4%and 13.3%,respectively.The proportions of“Yellow and above”pregnancy risk ranged from 54.5%to 65.0%and ranged from 7.4%to 16.3%for“Orange and above”pregnancy risk.Among women with“Orange and above”pregnancy risk,most of them gave birth in public tertiary institutions(71.8%–79.4%).What are the implications for public health practice?The implementation of the“Five-Color Management”for pregnant women with different pregnancy risks should be strengthened,especially those with“Orange and red”pregnancy risk who should be hospitalized for delivery in tertiary medical institutions if they have conditions.
文摘What is already known on this topic?Due to shifting circumstances in China,the government has adjusted the child-bearing policy to allow couples to have a second child.This has affected the total number of live births,especially in more developed urban areas.What is added by this report?The total number of live births in the 4 monitoring cities including Chengdu,Wuhan,Shenzhen,and Beijing during 2014–2019 increased by 33.0%,20.3%,10.7%,and 8.2%,respectively.From 2014 to 2017,the proportion of total live births that were policy related increased in each city:Chengdu(2.0%to 35.0%),Wuhan(1.0%to 25.1%),Shenzhen(0.6%to 39.4%),and Beijing(3.1%to 30.2%).What are the implications for public health practice?Our results showed that the implementation of the new adjusted family planning policy alleviated the downward trends in total live births and is unlikely to lead a baby boom as estimated by previous studies.
