13669名孕产妇合并症/并发症检出率及其影响因素

目的：了解孕产妇合并症/并发症的检出率及其影响因素，为孕产期保健提供科学依据。方法：对住院分娩的13669名孕产妇进行孕期医学检查和问卷调查，孕产妇合并症/并发症影响因素的单因素分析采用χ2检验，多因素分析采用非条件logistic回归分析。结果：13669名孕产妇中检出妊娠合并症/并发症1904名，占139.3‰，并发症的检出率（81.7‰）高于合并症（38.6‰），其中贫血、胎膜早破、糖尿病、重度子痫前期、轻度子痫前期、妊娠合并高血压等合并症/并发症的检出率较高，分别为29.5‰，25.1‰，19.2‰，14.3‰，12.7‰，12.7‰。非条件logistic回归分析结果显示：孕产妇年龄、文化程度、既往剖宫产数、本次终止妊娠方式、终止妊娠孕周及胎儿数等因素与孕产妇妊娠合并症/并发症有关。结论：孕产妇妊娠合并症/并发症检出率较高，应及时发现和治疗妊娠合并症/并发症，保证孕产妇生命安全。

Complications and related determinants in 13669 pregnant women

Objective：To investigate pregnancy complications and related determinants, and provide scientiifc evidence for maternal health care.Methods：A total of 13669 pregnant women who planned to deliver in the hospital were randomly identiifed and surveyed by questionnaire. Chi-square test and logistic regression models were used to screen the inlfuencing factors for pregnancy complications. Results：hTe incidence of pregnancy complication was 139.4‰. hTe following diseases had higher incidence than others：anemia （29.5‰）, premature rupture of membranes （25.1‰）, diabetes （19.2‰）, severe preeclampsia （14.3‰）, mild preeclampsia （12.7‰）, and hypertensive disorder complicating pregnancy （12.7‰）. Data from logistic regression models showed that pregnancy complications were related to maternal age, education level, number of caesarean sections, ways to terminate pregnancy, gestation weeks and number of fetuses. Conclusion：hTe rate of pregnant complication is high, which should be treated in time to ensure the safety of pregnant women.