永靖县农村育龄妇女妊娠结局调查分析

目的:通过对永靖县育龄妇女妊娠结局的调查,了解农村妇女的生殖健康现状及其影响因素,为进一步搞好计划生育工作和妇女保健工作提供科学依据。方法:整群抽取甘肃省永靖县6个乡(镇)、6个村的育龄妇女作为调查对象,于2004年7月采用统一制定的调查问卷对其进行入户调查,同时组织育龄妇女到县(乡)计划生育服务站(所)进行妇科检查。结果:1 268名育龄妇女,总妊娠次数3 034次,人均妊娠2.39次。妊娠结局中死胎死产91次,占3.00%;自然流产198次,占6.53%;人工流产241次,占7.94%;活产2 504次,占82.53%。死胎死产率3.51%,自然流产率7.09%。死胎死产发生率和自然流产发生率随妊娠次数增加而增加;文化程度较低或者收入较低者发生率较高。结论:甘肃省农村地区育龄妇女妊娠结局中死胎死产率、自然流产率与全国或者国内其他地区调查结果相比,发生率比较高,其相关影响因素有不同之处。应进一步加强对农村育龄妇女生殖健康知识的普及教育,提高育龄妇女产前保健水平和入院分娩率,降低不良妊娠结局发生率。

Investigation and analysis about rural female pregnant outcomes in Yongjing county

Objective:In order to understand the prevalent situation of female reproductive health in Yongjing county,we investigated the female pregnant outcomes to provide scientific evidences for family planning and women health working.Methods:Investigative objectives were stratified and clustered sampled from six villages in Yongjing county.We investigated them with questionnaires and organized them to make gynecologic examination in July 2004.Results:There were 1268 women who accepted the investigation and examination.Total numbers of gravidity were 3034,and the average gravidity for women was 2.39 times.Stillbirth rate(SBR) was 3.51 percent and correlated with gravidity positively.Spontaneous abortion rate(SAR) was 7.09 percent and related with gravidity,cultural level and earning.Conclusion:SBR and SAR in Gansu countryside were higher than other regions in China.Their influential factors were different.We should strengthen the education about reproductive health further,improve the health level of reproductive women before childbirth,raise the rate of hospital service at delivery and reduce the proportion of adverse pregnant outcomes.