二胎政策开放后对高龄经产妇妊娠特征及妊娠结局的影响
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摘要
目的探究二胎政策开放后对高龄经产妇妊娠特征及妊娠结局的影响。方法回顾性分析2016年1-6月在佛山市南海区第六人民医院接受住院分娩的950例产妇病历资料,依据产次和年龄分为初产妇组(400例)、经产妇组(350例)和高龄经产妇组(200例)。观察3组妊娠结局及妊娠并发症,同时比较3组产妇不同时间节点的心理状态。结果高龄经产妇组孕期不同时间点SDS、SAS评分均显著高于初产妇组,差异有统计学意义(P <0. 05);高龄经产妇组不良妊娠结局发生率均显著高于初产妇组和经产妇组,差异有统计学意义(P <0. 05);高龄经产妇组妊娠并发症发生率明显高于初产妇组和经产妇组,差异有统计学意义(P <0. 05)。结论二胎政策开放后经产妇人数明显增加,且年龄较大,妊娠期并发症和不良妊娠结局发生率均较高,产妇心理舒适度较低。
Objective To explore the effects of the two-child policy on the pregnancy characteristics and pregnancy outcome of elderly multiparturients. Methods We retrospectively analyzed maternal medical records of 950 pregnant women delivered in our hospital from January 2016 to June 2016. According to their number of births and ages,they were divided into primipara group 400 cases),multipara group(350 cases) and elderly multipara group(200 cases). Pregnancy outcomes and pregnancy complications of the three groups were observed. At the same time,the psychological status of the three groups of women at different time points was compared. Results The SDS and SAS scores at the different stages of pregnancy in the elderly multipara group were significantly higher than those in the primipara group(P < 0. 05). The incidence of adverse pregnancy outcomes in the elderly multipara group was significantly higher than that in primipara group,multipara group(P < 0. 05). The incidence of pregnancy complications in the elderly multipara group was significantly higher than that in the primipara and multipara groups(P < 0. 05). Conclusion Since the opening up of the two-child policy,the number of multiparas has increased significantly,the prevalence of pregnancy complications and adverse pregnancy outcomes was higher,and the maternal psychological comfort degree was lower.
Objective To explore the effects of the two-child policy on the pregnancy characteristics and pregnancy outcome of elderly multiparturients. Methods We retrospectively analyzed maternal medical records of 950 pregnant women delivered in our hospital from January 2016 to June 2016. According to their number of births and ages,they were divided into primipara group 400 cases),multipara group(350 cases) and elderly multipara group(200 cases). Pregnancy outcomes and pregnancy complications of the three groups were observed. At the same time,the psychological status of the three groups of women at different time points was compared. Results The SDS and SAS scores at the different stages of pregnancy in the elderly multipara group were significantly higher than those in the primipara group(P < 0. 05). The incidence of adverse pregnancy outcomes in the elderly multipara group was significantly higher than that in primipara group,multipara group(P < 0. 05). The incidence of pregnancy complications in the elderly multipara group was significantly higher than that in the primipara and multipara groups(P < 0. 05). Conclusion Since the opening up of the two-child policy,the number of multiparas has increased significantly,the prevalence of pregnancy complications and adverse pregnancy outcomes was higher,and the maternal psychological comfort degree was lower.
引文
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[2]吴平.孕期保健对高龄产妇并发症及妊娠结局的影响[J].世界最新医学信息文摘,2016,16(50):202-204.
[3]陈宇,郑晓莉,伍绍文,等.不同年龄段高龄孕产妇临床特点与妊娠结局的分析[J].中华妇产科杂志,2017,52(8):508-513.
[4]张晨凌.高龄经产妇、高龄初产妇及非高龄经产妇的妊娠结局比较[J].实用临床医药杂志,2016,20(9):197-198.
[5]闻喆,张丽君.单独二孩政策实施前后经产妇妊娠并发症和分娩结局的回顾性分析[J].临床和实验医学杂志,2016,15(1):69-72.
[6]陈淑芳,张晨,陈焱,等.基于“二胎”再育趋势的产科安全影响因素分析及对策探讨[J].上海交通大学学报(医学版),2016,36(5):742-746.