健康状况及生活行为方式对不良妊娠结局的影响

目的:探讨妇女健康状况及生活行为方式与不良妊娠结局的关系。方法:以祥云县8个镇4个乡136个村(居)委会居民2005年1月～2006年12月生育的夫妻为研究对象,采用定性定量研究方法收集资料,以相关因素为自变量,不良妊娠结局为因变量,进行Logistic回归分析。结果:出生4313例中有482例为不良妊娠结局,发生率为11.18%。发生率前三位的不良妊娠结局为:非足月产(55.19%)、低出生体重儿或巨大儿(44.40%)、双胎或多胎(5.39%)。调整了相关因素后,体重指数、发热38℃以上熬夜、饮浓茶/咖啡、严重呕吐与不良妊娠结局呈正关联(P0.05)。结论:妇女健康状况(体重指数、发热38℃以上)和不良生活行为方式(熬夜、饮浓茶/咖啡、严重呕吐)会增加不良妊娠结局的风险。

Effects of health status and life behavior style on adverse pregnancy outcomes

Objective:To explore the relationship between health status,life behavior style and adverse pregnancy outcomes.Methods:The couples who delivered from January 2005 to December 2006 from 136 villages,4 countries of 8 towns were selected as research objects,then qualitative method and quantitative method were used to collect the data,related factors were selected as independent variable,adverse pregnancy outcomes were selected as dependent variable,logistic regression analysis was used in the study.Results:The incidence of adverse pregnancy outcomes was 11.18% (482/4 313).The first three places of incidence of adverse pregnancy outcome were preterm birth (55.19%),low birth weight infants or giant babies (44.40%),twin birth or multiple birth (5.39%);there was positive correlation between BMI,fever above 38°C/staying up late,drinking strong tea/coffee,severe vomiting and adverse pregnancy outcomes after adjusting related factors (P<0.05).Conclusion:Health status (BMI and fever above 38°C) and bad life behavior styles (staying up late,drinking strong tea/coffee,severe vomiting) may increase the risk of adverse pregnancy outcomes.