外来孕产妇产前检查及妊娠结局的调查分析

目的 研究外来孕产妇妊娠结局及其与产前检查的关系.方法 对2004年至2006年上海市浦江社区卫生服务中心流动人口分娩点住院分娩的7 867份临床病例资料进行回顾性分析.结果 外来产妇年龄偏小,经产妇占一半以上(50.8%);产前检查覆盖率为95.23%,产前检查不足4次者占62.02%;剖宫产率20.52%;新生儿男女性别比118.59:100;产后出血1.08%,胎儿畸形0.31%,巨大儿7.45%.产前检查对改善不良妊娠结局有积极作用.出生性别比的严重失调与产次有显著关系(P=0.001).结论 外来孕产妇缺乏足够的围产期保健,应进一步加强系统的产前检查和质量控制,切实改善外来流动人口的母婴保健状况.应加强外来人口计划生育及非法性别鉴定的管理,有效降低外来产妇新生儿出生性别比.

Prenatal health examination and pregnancy outcomes of foreign migrant women

Objective To investigate relationship between prenatal examination and pregnancy outcomes of foreign migrant women in Shanghai city.Methods The clinical data of 7 867 pregnant women delivered in the delivery spot for foreign migrants of Shanghai Pujiang Community Health Service Centre from 2004 to 2006 were reviewed and analyzed retrospectively.Results The foreign migrant pregnant women were generally younger,of which,the multiparae accounted for a half(50.8%).The coverage rate of prenatal examination was 95.23%.62.02% of pregnant women received less than 4 times of prenatal examinations.The cesarean section rate was 20.52%.The gender proportion of the newborns was 118.59:100(the male: the female).Merely,1.08% of the women had postpartum hemorrhage.The fetal malformation rate was 0.31% and the rate of macrosomia was 7.45%.Prenatal examination significantly improved the pregnancy outcomes of those foreign migrant women.Severe imbalance of the newborn's gender ratio was associated closely with parity(P=0.001).Conclusion The perinatal health care for foreign migrant women in Shanghai was insufficient.A systematic prenatal examination and birth quality control should be intensified further and the health care status of maternities and the infants in foreign migrant population should be improved actually.The management of family planning and illegal fetal gender differentiation in foreign migrant population should be reinforced to effectively lower the higher gender ratio of the newborns born by those foreign migrant women.