摘要
目的:探讨孕妇早产发生情况并分析早产高危因素。方法:回顾性分析本院2022年1-6月住院分娩的628例孕妇临床资料,根据分娩孕周分为早产组和足月产组,对比两组的床资料,通过Logistic回归分析早产的高危因素。结果:628例早产发生率为7.0%(44/624),早产儿分娩孕周28~31~(+6)周5例(11.4%)、32~33~(+6)周9例(20.5%)、34~36~(+6)周30例(68.2%)。早产组学历、孕前服用叶酸、产次、妊娠期糖尿病、早产史、胎盘早剥、胎膜早破、羊水过少发生率与足月产组无差异(P>0.05),孕妇年龄、孕前体质指数、产前检查、妊娠期高血压、人工流产史、前置胎盘、娠期肝内胆汁淤积症(ICP)、胎儿窘迫、胎儿生长受限发生率与足月产组有差异(均P<0.05)。多因素分析显示,孕妇高龄、胎儿窘迫、ICP、妊娠期高血压及前置胎盘均是孕妇发生早产的高危因素(均P<0.05)。结论:高龄妊娠、胎儿窘迫、ICP、妊娠期高血压及前置胎盘均会增加早产发生风险,临床应对存在早产风险的孕妇加以重视。
Objective:To explore the incidence and the high risk factors of premature delivery of pregnant women.Methods:The clinical data of 628 pregnant women who delivered in hospital were analyzed retrospectively.According to the gestational weeks of delivery,these women were divided into group A(women with premature delivery)and group B(women with full-term delivery).The clinical data of the women were compared between the two groups.The high-risk factors of premature delivery of the women were analyzed by logistic regression.Results:The incidence of preterm delivery of 628 pregnant women was 7.0%(44/628),which included 5 cases(11.4%)with 28-31^(+6) gestational weeks of preterm delivery,9 cases(20.5%)with 32-33^(+6) gestational weeks of preterm delivery,and 30 cases(68.2%)with 34-36^(+6) gestational weks of preterm delivery.There were no significant differences in the education level,the in-cidence of folic acid taking before pregnancy,the parity,the preterm delivery history,and the incidences of gestational diabetes mellitus,placental abruption,premature rupture of membranes,and oligohydramnios of the women between the two groups(P>>0.05).There were significant differences in the age,the values of pre pregnancy body mass index,the prenatal examination situation,the rate of gestational hypertension,the induced abortion history,and the incidences of placenta previa,intrahepatic cholestasis of pregnancy(ICP),fetal distress,and fetal growth restriction of the women between the two groups(all P<0.05).Multivariate analysis showed that the maternal age,the fetal distress,ICP,the gestational hypertension,and the placenta previa of the women were all the risk factors of their preterm delivery(all P<0.05).Conclusion:The pregnant women with advanced age,fetal distress,ICP,gestational hy-pertension,or placenta previa all will increase the risk of their preterm birth.So in clinic,the pregnant women with risk of preterm birth should be paid attention to.
作者
李炼
沈婕
沈树娜
LI Lian;SHEN Jie;SHEN Shuna(Hainan Western Central Hos pital,Danzhou,Hainan Province,571700)
出处
《中国计划生育学杂志》
2023年第3期650-653,共4页
Chinese Journal of Family Planning
关键词
早产
前置胎盘
胎儿窘迫
危险因素
Preterm birth
Placenta previa
Fetal distress
Risk factor
