摘要
目的分析二胎高龄孕妇妊娠结局情况,为临床指导提供依据。方法以2017年1月1日—6月30日收住我院生产的二胎孕妇为研究对象,分为高龄组和适龄组,回顾性分析比较两组孕妇的妊娠合并症及并发症的发生率、不良妊娠结局的情况。结果二胎高龄组孕妇妊娠合并症、并发症的发生率、产后出血率、剖宫产率较适龄组高,且差异具有统计学意义(P <0.05);两组间新生儿结局差异无统计学意义(P> 0.05)。结论生育政策调整后,二胎高龄孕妇明显增多,且妊娠风险明显上升,需加强对二胎高龄孕妇的围产期保健管理,减少不良妊娠结局的发生,保障母婴安全。
Objective To analyze the results of second pregnancy outcomes to provide evidence for clinical supervision.Methods The pregnant women who were admitted to our hospital from January 1,to June 30,2017 were divided into the elderly group and the appropriate age group.The retrospective analysis were performed to compare the pregnancy comorbidities and complications and adverse pregnancy outcomes in the two groups of pregnant women.Results The incidence of pregnancy comorbidities and complications,postpartum hemorrhage rate and cesarean section rate were higher in the second-grade pregnant women than in the appropriate age group,and the difference was statistically significant(P<0.05).There was no statistical difference in neonatal outcome between the two groups(P>0.05).Conclusion After the adjustment of the fertility policy,the number of pregnant women with the second child is significantly increased,and the risk of pregnancy is significantly increased.It is necessary to strengthen the management of perinatal care for pregnant women of the second child,reduce the occurrence of adverse pregnancy outcomes,and ensure the safety of mother and child.
作者
林文华
刘礼芳
蔡红侠
丁玉兰
LIN Wenhua;LIU Lifang;CAI Hongxia;DING Yulan(Department ofGynaecology and Obstetrics,The First Affiliated Hospital of XiamenUniversity,Xiamen Fujian 361003,China)
出处
《中国卫生标准管理》
2019年第1期65-67,共3页
China Health Standard Management
关键词
二胎
高龄孕妇
合并症
并发症
发生率
妊娠结局
产前检查
second child
elderly pregnant women
comorbidities
complications
morbidity
pregnancy outcome
prenatal examination
