摘要
目的通过对北京市早产儿发生的影响因素分析,探讨二胎政策实施后北京市降低早产儿发生率干预措施。方法采用北京市妇幼保健管理信息系统助产机构分娩上报数据,纳入2012年10月-2015年9月北京市户籍孕产妇368 687例新生儿,采用SPSS 16.0软件对早产儿发生情况进行统计分析。结果 2013-2015年北京市户籍孕产妇早产率5.14%,2015年早产发生率5.32%,高于2014年的5.21%及2013年的4.82%。单因素分析显示,高龄、多胎、经产、妊娠期高危因素、男性胎儿与早产发生有关。2015年二胎政策放开后北京市高龄孕妇、经产妇、多胎妊娠孕妇比例的增加使早产率增加,差异有统计学意义。结论随着二胎政策放开,北京市早产儿发生率和发生总数将进一步升高,及早识别早产儿危险因素,加强新生儿科建设,构建早产儿救治网络,以应对生育政策调整带来的挑战。
Objective To explore the intervention measures to reduce the incidence rate of premature infants in Beijing after implementation of two-child policy by analyzing the influencing factors of premature infants in Beijing.Methods Based on the data reported by midwifery institutions in Beijing maternal and child health care management information system,368 687 neonatal born by Beijing local pregnant women were included from October 2012 to September 2015,the data was analyzed statistically using SPSS 16.0 software.Results The premature birth rate in Beijing from 2013 to 2015 was 5.14%,the premature birth rate in 2015 was 5.32%,which was higher than those in2014(5.21%) and 2013(4.82%).Univariate analysis showed that advanced age,multiple pregnancy,multipara,high risk factors during pregnancy,and male babies were correlated with premature birth.After implementation of two-child policy in 2015,the proportions of pregnant women with advanced age,multiparous women,and multiple pregnancy increased,which induced the increase of premature birth rate,there were statistically significant differences.Conclusion The implementation of two-child policy has brought huge challenge to maternal and child health management and the daily work in obstetric department.All the midwifery institutions,maternal and child health care institutions and related administrative authority should try their best to improve the medical techniques and service quality in order to ensure maternal and child health.
出处
《中国妇幼保健》
CAS
2017年第1期10-12,共3页
Maternal and Child Health Care of China
关键词
早产儿
影响因素
围产儿结局
Premature child
Influencing factor
Perinatal outcome