阳江市阳东区5540对夫妇免费孕前优生健康检查结果分析
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摘要
目的分析2015～2017年阳江市阳东区5540对夫妇免费孕前优生健康检查结果。探讨如何在新形势下进一步开展免费孕前优生健康检查工作,降低发生不良妊娠结局、出生缺陷的风险。方法选取2015～2017年阳江市阳东区于本站参加免费孕前优生健康检查的5540对夫妇作为研究对象,均为阳江市阳东区符合生育政策且已婚计划怀孕的夫妇。免费进行孕前优生健康检查,包括病史询问、健康教育、体格检查、实验室检查、风险评估、咨询指导、跟踪随访等,对2015～2017年免费孕前优生健康检查结果及孕后随访结果进行分析。结果本站2015～2017年共参加免费孕前优生健康检查10880例(5540对),男、女性各5540例。分别为2015年3380例(1690对),2016年3800例(1900对),2017年3700例(1850对)。经过筛查,有3628例属高风险人群。通过对2015～2017年接受检查的5540名妇女孕后随访结果进行分析,发现已孕2356例,约占42.53%;分娩1978例,约占已孕妇女的83.96%;正常活产1832例,约占分娩妇女的92.62%;自然流产73例,约占3.70%;人工流产43例,约占2.17%;早产16例,约占0.81%;死胎死产3例,约占0.15%;缺陷儿终止妊娠5例,约占0.25%;重症地贫儿终止妊娠6例,约占0.30%。结论通过规范化、科学化孕前优生健康检查,为准孕夫妇提供个性化优生咨询与健康指导,可有效改善不良妊娠结局,降低出生缺陷发生风险。
Objective To analyze results of free pre-pregnancy eugenics examination for 5540 couples in Yangdong District of Yangjiang from 2015 to 2017 and to explore how to further carry out the free pre-pregnancy eugenics examination to reduce risks of adverse pregnancy outcome and birth defects. Methods 5540 couples underwent free pre-pregnancy eugenics examination in Yangdong District Family Planning Service Center of Yangjiang from 2015 to 2017 were selected as research objects.All of them were couples who met the fertility policy of Yangdong district of Yangjiang and planned to get pregnant.They were given free pre-pregnancy eugenics examinations including the enquiry of medical history,health education,physical examination,laboratory examination,risk assessment,counseling guidance,follow-up visit and so on.Results of free pre-pregnancy eugenics examination and follow-up visit after pregnancy from 2015 to 2017 were analyzed. Results From 2015 to 2017,a total of 10,880 people(5,540 pairs)including 5,540 men and 5,540 women participated in the free pre-pregnancy eugenics health examinations in this center.They were 3,380 in 2015(1,690 pairs),3,800 in 2016(1,900 pairs) and 3,700 in 2017(1,850 pairs).After screening,3,628 were at high risk.By analyzing the follow-up results of the 5,540 women who were examined from 2015 to 2017,it was found that 2,356 women had been pregnant,accounting for 42.53%.1978 people gave birth,accounting for about 83.96% of pregnant women.1832 women had normal live births,accounting for 92.62% of women giving birth.73 people were with spontaneous abortion accounting for 3.70%,43 people were with induced abortion accounting for about 2.17% and 16 people were with premature birth accounting for 0.81%,3 people with dead births accounting for 0.15%.Defective infants terminated 5 pregnancies,accounting for 0.25%.The severe thalassemia infants terminated6 pregnancies,accounting for about 0.30%. Conclusion By standardized and scientific pre-pregnancy eugenics examination,providing personalized eugenics counseling and health guidance for expectant pregnant couples can effectively improve adverse pregnancy outcomes and reduce the risk of birth defects.
Objective To analyze results of free pre-pregnancy eugenics examination for 5540 couples in Yangdong District of Yangjiang from 2015 to 2017 and to explore how to further carry out the free pre-pregnancy eugenics examination to reduce risks of adverse pregnancy outcome and birth defects. Methods 5540 couples underwent free pre-pregnancy eugenics examination in Yangdong District Family Planning Service Center of Yangjiang from 2015 to 2017 were selected as research objects.All of them were couples who met the fertility policy of Yangdong district of Yangjiang and planned to get pregnant.They were given free pre-pregnancy eugenics examinations including the enquiry of medical history,health education,physical examination,laboratory examination,risk assessment,counseling guidance,follow-up visit and so on.Results of free pre-pregnancy eugenics examination and follow-up visit after pregnancy from 2015 to 2017 were analyzed. Results From 2015 to 2017,a total of 10,880 people(5,540 pairs)including 5,540 men and 5,540 women participated in the free pre-pregnancy eugenics health examinations in this center.They were 3,380 in 2015(1,690 pairs),3,800 in 2016(1,900 pairs) and 3,700 in 2017(1,850 pairs).After screening,3,628 were at high risk.By analyzing the follow-up results of the 5,540 women who were examined from 2015 to 2017,it was found that 2,356 women had been pregnant,accounting for 42.53%.1978 people gave birth,accounting for about 83.96% of pregnant women.1832 women had normal live births,accounting for 92.62% of women giving birth.73 people were with spontaneous abortion accounting for 3.70%,43 people were with induced abortion accounting for about 2.17% and 16 people were with premature birth accounting for 0.81%,3 people with dead births accounting for 0.15%.Defective infants terminated 5 pregnancies,accounting for 0.25%.The severe thalassemia infants terminated6 pregnancies,accounting for about 0.30%. Conclusion By standardized and scientific pre-pregnancy eugenics examination,providing personalized eugenics counseling and health guidance for expectant pregnant couples can effectively improve adverse pregnancy outcomes and reduce the risk of birth defects.
引文
[1]王巧梅,张曼,张世琨,等.中国免费孕前优生健康检查项目质量保证体系的建立[J].中华医学杂志,2015,95(3):166-168.
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[8]陈延斌,张爱丹,孔艳,等.2013~2016年沈阳市免费孕前优生检查结果分析[J].中国计划生育和妇产科,2017,9(11):28-30.
[9]陈科,苏玲,车焱,等.免费孕前优生健康检查目标人群特征及参与原因调查[J].中国计划生育学杂志,2018,26(3):184-188.
[10]李铭臻,赵文忠,朱志勇,等.广东省免费孕前优生健康检查地中海贫血基因检测结果分析[J].中国计划生育学杂志,2016,24(7):454-457.
[11]王涛,袁彦玲,赵子高,等.从服务人群视角评价云南省国家免费孕前优生健康检查项目效果[J].中国计划生育学杂志,2018,26(5):353-356.
[12]蔡培,景秀,刘俊,等.免费孕前优生健康检查对象随访意愿调查[J].中国计划生育学杂志,2015,23(1):41-42.
[13]何杨,杨柳,刘俊,等.重庆市免费孕前优生健康检查项目县乡共同服务模式探讨[J].中国计划生育学杂志,2015,23(5):343-344.
[14]刘可,朱洁明,黄嘉欣,等.基于国家免费孕前优生健康检查的中医健康管理模式对预防新生儿出生缺陷的临床价值分析[J].广西医科大学学报,2017,34(7):1055-1058.
[15]刘汉莲.育龄妇女对免费孕前优生健康检查的知识、态度、行为调查结果分析[J].实用妇科内分泌电子杂志,2017,4(28):86-87.
[16]梁艳,王秀芸,郭爱华,等.2013-2015年深圳市福田区免费孕前优生健康检查结果分析[J].中国妇幼保健,2017,32(7):1363-1365.
[2]杨传娥.全程健康教育模式在免费孕前优生健康检查中的应用[J].齐鲁护理杂志,2016,22(20):122-123.
[3]龚桂芳,曾晓琴,朱志琴,等.综合干预在育龄妇女免费孕前优生健康检查服务中的应用[J].齐鲁护理杂志,2016,22(14):69-70.
[4]张丽红,沈峰.实验室质量评价分析系统在国家免费孕前优生健康检查项目中的应用[J].国际检验医学杂志,2018,39(3):382-384.
[5]杜传书,地中海贫血研究的现状与未来[J].中华医学遗传学杂志,1996,13(5):257-258.
[6]严晓岚.5474例免费孕前优生健康检查者高风险因素分析[J].中国计划生育和妇产科,2018,10(2):32-34,41.
[7]窦迎春,方菁,丁明,等.云南省南涧县国家免费孕前优生健康检查项目满意度调查分析[J].中国妇幼保健,2016,31(12):2532-2534.
[8]陈延斌,张爱丹,孔艳,等.2013~2016年沈阳市免费孕前优生检查结果分析[J].中国计划生育和妇产科,2017,9(11):28-30.
[9]陈科,苏玲,车焱,等.免费孕前优生健康检查目标人群特征及参与原因调查[J].中国计划生育学杂志,2018,26(3):184-188.
[10]李铭臻,赵文忠,朱志勇,等.广东省免费孕前优生健康检查地中海贫血基因检测结果分析[J].中国计划生育学杂志,2016,24(7):454-457.
[11]王涛,袁彦玲,赵子高,等.从服务人群视角评价云南省国家免费孕前优生健康检查项目效果[J].中国计划生育学杂志,2018,26(5):353-356.
[12]蔡培,景秀,刘俊,等.免费孕前优生健康检查对象随访意愿调查[J].中国计划生育学杂志,2015,23(1):41-42.
[13]何杨,杨柳,刘俊,等.重庆市免费孕前优生健康检查项目县乡共同服务模式探讨[J].中国计划生育学杂志,2015,23(5):343-344.
[14]刘可,朱洁明,黄嘉欣,等.基于国家免费孕前优生健康检查的中医健康管理模式对预防新生儿出生缺陷的临床价值分析[J].广西医科大学学报,2017,34(7):1055-1058.
[15]刘汉莲.育龄妇女对免费孕前优生健康检查的知识、态度、行为调查结果分析[J].实用妇科内分泌电子杂志,2017,4(28):86-87.
[16]梁艳,王秀芸,郭爱华,等.2013-2015年深圳市福田区免费孕前优生健康检查结果分析[J].中国妇幼保健,2017,32(7):1363-1365.
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