免费孕前优生健康检查对象潜在危险因素接触和妊娠结局分析
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摘要
目的分析免费孕前优生健康检查对象妊娠结局及潜在危险因素接触水平。方法选取2015年7月至2016年12月期间在本站接受免费孕前优生健康检查和优生咨询的3 002对夫妇,其中42对夫妇拒访,2 960对夫妇接受随访,入选者均计划在半年内准备生育,对其进行随访,观察2 960对夫妇的妊娠情况及危险因素接触水平。结果孕前检查后3个月随访时,丈夫吸烟比例19.59%;妻子吸烟比例1.08%,丈夫及妻子喝酒比例分别为17.57%及2.20%,每日工作或生活环境接触电磁辐射时间在8 h以上的男女比例分别为33.99%,33.72%。10.81%的妻子接触过粉尘、重金属、农药、汽油、化肥、放射线、塑料或橡胶生产过程。养宠物未注射疫苗的比例4.29%,半年内有装修、购置新家具的比例42.43%,不养宠物,偶尔接触动物有165对(5.57%)。2 960对夫妇,在随访中有怀孕妇女1 440人,妊娠率为48.65%,在怀孕12周随访时,86.11%的丈夫在妻子怀孕后不吸烟,14.72%的妻子在怀孕后接触过农药、放射线、猫、狗、被动吸烟,0.97%的妻子停经后服用过药物,10.56%的妻子停经后有发热、流感、阴道出血、病毒型肝炎、腹痛症状。在妊娠妇女1 440人中有730人完成妊娠结局随访,总不良妊娠结局率为15.62%,进一步分析发现,年龄、孕期用药对不良结局有明显影响(P<0.05)。结论孕前优生健康检查对待孕夫妇具有重要意义,可了解潜在的危险因素接触情况,并给予指导和健康教育,以达到优生优育目的。
Objective To analyze the pregnancy outcomes and potential risk factor contacts after the free pre-pregnancy eugenic checkups.Methods 3 002 couples underwent the free pre-pregnancy eugenic checkups and consultations from July 2015 to December 2016 in our center were selected. 42 cases refused to take the follow-up visit; 2 960 cases took the follow-up visit. The subjects were planning to bear a child within 6 m.Among 2 960 cases, the pregnancy conditions and risk factor contact conditions were probed. Results After 3 m of follow-up visit, the rate of contacting the smoking from husband and herself was 19.59% and 1.08%; the rate of contacting the drinks from husband and herself was 17.57% and2.20%; the male/female rate of contacting the electromagnetic radiation for over 8 h in the daily life or living environment was 33.99% and 33.72%.10.81% of the wives had a contact with dust, heavy metal, pesticide, gasoline, chemical fertilizer, radioactive rays, plastic or rubber production process. The rate of keeping pets without vaccination was 4.29%; the rate of decorating houses and purchasing new furniture within 6 m was 42.43%;165 cases didn’t keep pets or just contacted animals by accident(5.57%). Among 2 960 cases, the pregnancy rate was 48.65%(n=1 440); upon 12 w of pregnancy, 86.11% of the husbands quitted smoking upon the wife’s pregnancy; 14.72% of the wives had a contact with pesticide, radioactive rays, cats, dogs and passive smoking; After menelipsis, 0.97% of the wives ever took medicines; 10.56% of the wives had fever, flu, vaginal bleeding,viral hepatitis and stomachache. Among 1 440 cases, 730 cases were successfully reviewed; the total adverse pregnancy outcome rate was 15.62%. It was known that their age and medication produced an obvious effect in the adverse pregnancy outcomes(P<0.05). Conclusion The free pre-pregnancy eugenic checkups are of great importance to know about the potential risk factor contacts, give the proper guidance and health education and bear better children.
Objective To analyze the pregnancy outcomes and potential risk factor contacts after the free pre-pregnancy eugenic checkups.Methods 3 002 couples underwent the free pre-pregnancy eugenic checkups and consultations from July 2015 to December 2016 in our center were selected. 42 cases refused to take the follow-up visit; 2 960 cases took the follow-up visit. The subjects were planning to bear a child within 6 m.Among 2 960 cases, the pregnancy conditions and risk factor contact conditions were probed. Results After 3 m of follow-up visit, the rate of contacting the smoking from husband and herself was 19.59% and 1.08%; the rate of contacting the drinks from husband and herself was 17.57% and2.20%; the male/female rate of contacting the electromagnetic radiation for over 8 h in the daily life or living environment was 33.99% and 33.72%.10.81% of the wives had a contact with dust, heavy metal, pesticide, gasoline, chemical fertilizer, radioactive rays, plastic or rubber production process. The rate of keeping pets without vaccination was 4.29%; the rate of decorating houses and purchasing new furniture within 6 m was 42.43%;165 cases didn’t keep pets or just contacted animals by accident(5.57%). Among 2 960 cases, the pregnancy rate was 48.65%(n=1 440); upon 12 w of pregnancy, 86.11% of the husbands quitted smoking upon the wife’s pregnancy; 14.72% of the wives had a contact with pesticide, radioactive rays, cats, dogs and passive smoking; After menelipsis, 0.97% of the wives ever took medicines; 10.56% of the wives had fever, flu, vaginal bleeding,viral hepatitis and stomachache. Among 1 440 cases, 730 cases were successfully reviewed; the total adverse pregnancy outcome rate was 15.62%. It was known that their age and medication produced an obvious effect in the adverse pregnancy outcomes(P<0.05). Conclusion The free pre-pregnancy eugenic checkups are of great importance to know about the potential risk factor contacts, give the proper guidance and health education and bear better children.
引文
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[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]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.
[9]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.
[10]李新艳,孙晓如,周培莹,等.江苏省国家免费孕前优生健康检查项目信息协调员情况调查分析[J].中国计划生育学杂志,2017,25(3):200-202.
[2]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.
[3]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.
[4]温小鲜,梁建文,陈惠初,等.国家免费孕前优生健康体检中的护理对策[J].中华现代护理杂志,2017,23(22):2876-2881.
[5]张加伟,吕育玲,邓志盛,等.武汉市黄陂区31926例孕前优生健康检查的回顾性分析[J].华中科技大学学报(医学版),2016,45(6):687-690.
[6]龙春燕,邵红,周燕,等.乌鲁木齐免费体检不良妊娠结局与孕前危险因素暴露关系研究[J].新疆医学,2015,45(10):1403-1406.
[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]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.
[9]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.
[10]李新艳,孙晓如,周培莹,等.江苏省国家免费孕前优生健康检查项目信息协调员情况调查分析[J].中国计划生育学杂志,2017,25(3):200-202.
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