湖北省部分农村孕产妇并发症/合并症现况及影响因素分析

目的:探讨湖北省部分农村孕产妇并发症/合并症的现况及影响因素。方法:采用随机抽样的方法对湖北省黄冈、十堰、汉川三市农村的1 524例孕产妇进行问卷调查,对多个变量进行单因素分析。结果:1 524例孕产妇所构成的样本中,孕期并发症/合并症的发病率为14.63%。高危因素排前3位的依次为贫血、妊娠期高血压疾病和肝病。分娩地点、分娩年龄、孕产妇性格和是否进行过产检等4个变量与孕产妇妊娠期并发症的发生有着密切的联系,可能增加妊娠期并发症的发生率。其余各项因素比较差异无统计学意义。结论:加强三级保健网,加强孕期保健宣传教育工作,提高产前检查次数及质量,加强高危筛查,促进住院分娩是促进农村孕产妇保健、保障母婴安全、降低农村孕产妇并发症/合并症的关键措施。

Analysis on current situation and influencing factors of complications in partial rural pregnant women in Hubei province

Objective: To explore the current situation and influencing factors of complications in partial rural pregnant women in Hubei province.Methods: Random sampling method was used to survey 1 524 pregnant women in rural areas of Huanggang city,Shiyan city,and Hanchuan city by a questionnaire,univariate analysis was used to analyze multiple variables.Results: In the samples consisted of 1 524 pregnant women,the incidence of gestational complications was 14.63%.The top three high risk factors were anemia,hypertensive disorder complicating pregnancy(HDCP),and liver diseases successively.Four variables(including delivery place,delivery age,maternal character,and receiving prenatal examination or not) were closely related to the occurrence of gestational complications,which might increase the incidence of gestational complications.There was no statistically significant difference in the other factors.Conclusion: The key measures to promote maternal health care,ensure maternal and infantile safety,reduce gestational complications include enhancing tertiary care network,strengthening health propaganda and education during gestational period,improving the times and quality of prenatal examination,strengthening screening of high risk pregnancy,and promoting hospital delivery.