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目的通过分析怀柔妇幼保健院住院分娩产妇现状,比较不同年龄组产妇孕期保健,妊娠并发症、分娩结局等情况,了解该地区部分妇女生育现况,探索改善郊区孕产妇孕期保健及妊娠结局的方法。方法回顾性分析2015年10月1日至2016年9月30日于北京怀柔妇幼保健院分娩的产妇,按不同年龄组(<20岁、20~24岁、25~29岁、30~34岁、≥35岁共五组)比较产妇的文化程度、孕期保健、妊娠期并发症、妊娠结局、分娩方式、新生儿结局等。结果 1年内分娩1 071例,<20岁46例(4.3%);≥35岁121例(11.3%),84.4%分娩年龄在20~34岁之间;<20岁组孕妇比率高于我国平均水平,此组孕妇文化程度低,产前保健少,发生妊娠期贫血、高血压疾病及早产等妊娠并发症明显高于其他年龄组;≥35岁组高龄产妇;远郊区县高龄孕产妇(≥35岁组)比率与其他地区相似,孕期保健较好,但妊娠高血压疾病、早产、妊娠糖尿病的发生率也较其他育龄组20~34岁有所增加,且剖宫产率明显增加。结论北京远郊区孕妇妊娠年龄相对较低,<20周岁孕产妇教育程度低,孕期保健不充分,妊娠并发症明显增多,远郊区妇女应加强宣教,适龄生育。低龄及高龄孕产妇保健应该得到重视。
Objective To analyze the current status of maternal hospitalization in Huairou Maternal and Child Health Hospital and compare the maternal health care, pregnancy complications and delivery outcomes in different age groups, understand the reproductive status of some women in the area, and explore ways to improve the maternal health care during pregnancy and the pregnancy outcome . Methods Retrospective analysis of maternal age at delivery in Huairou Maternal and Child Health Hospital of Beijing from October 1, 2015 to September 30, 2016 was conducted according to different age groups (<20 years old, 20-24 years old, 25-29 years old, 30-34 years old , 35 years old total of five groups) compared the level of maternal education, pregnancy care, complications during pregnancy, pregnancy outcome, mode of delivery, neonatal outcomes. Results 1 071 cases of childbirth within 1 year, 46 cases (4.3%) under 20 years old, 121 cases (11.3%) over 35 years old, 84.4% of children of childbirth between 20 to 34 years old, (P> 0.05). The pregnant women with low educational level, less prenatal care, pregnant women with gestational anemia, high blood pressure disease and premature labor had significantly higher pregnancy complications than other age groups. 35-year-old group) similar to other regions, pregnancy health is better, but the incidence of pregnancy-induced hypertension, premature birth, gestational diabetes also increased compared with other reproductive age group 20 to 34 years old, and cesarean section rate increased significantly. Conclusions Pregnant women in the suburbs of Beijing have a relatively lower gestation age, with less education for males <20 years of age, inadequate health care during pregnancy, and a significant increase in complications of pregnancy. Women in remote suburbs should strengthen their missionary education and make appropriate childbirth. Young and advanced maternal health should be given priority.