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目的分析计划内需终止妊娠的相关因素,为提高育龄妇女生殖健康水平提供依据。方法回顾性分析2004-2012年4 936例计划内终止妊娠孕妇资料,分析其终止妊娠的原因与相关因素。结果 2004-2012年,因死胎、畸形胎儿、妊娠并发症要求终止妊娠总体呈下降趋势,稽留流产、妊娠合并症总体呈上升趋势;<20岁年龄组死胎率、胎儿畸形率明显高于其他组;≥40岁年龄组稽留流产、妊娠并发症明显高于其他组;不同孕周组之间死胎、稽留流产、胎儿畸形、妊娠并发症、妊娠合并症间有明显差异性;农村计划内终止妊娠死胎率(33.0%)、稽留流产率(31.63%)明显高于城镇(P<0.05);胎儿畸形率(30.86%)、妊娠并发症(3.62%)明显低于农村(P<0.05)。结论不同时间、年龄、孕周、城乡之间计划内需终止妊娠原因各不相同,应加强对胎儿生长发育过程中的定期检查及早期干预,以提高育龄孕妇生殖健康水平和出生人口素质。
Objective To analyze the related factors of planning termination of pregnancy in domestic demand and provide basis for improving the reproductive health of women of childbearing age. Methods Retrospective analysis of 4 936 cases of pregnant women within the planned termination of pregnancy from 2004 to 2012, analysis of the reasons for termination of pregnancy and related factors. Results From 2004 to 2012, the demand for termination of pregnancy due to stillbirth, malformation fetus and pregnancy complications showed a decreasing trend, missed abortion and pregnancy complications generally showed an upward trend. The stillbirth rate and fetal malformation rate were significantly higher than those in other groups ; ≥40 years of age abortion abortion, complications of pregnancy was significantly higher than other groups; different gestational age group between stillbirth, missed abortions, fetal malformations, complications of pregnancy, pregnancy complications were significantly different; rural plan termination of pregnancy The rate of stillbirth (33.0%) and abortion (31.63%) were significantly higher than those in urban areas (P <0.05). Fetal malformation rate (30.86%) and pregnancy complications (3.62%) were significantly lower than those in rural areas (P <0.05). Conclusions There are different reasons for termination of pregnancy due to planned domestic demand at different times, ages, gestational weeks and urban-rural areas. Periodic examination and early intervention in fetal growth and development should be strengthened to improve the reproductive health status and quality of birth population of pregnant women of childbearing age.