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目的:了解孕产妇妊娠合并症与并发症情况,探索其相关影响因素,为改善产科质量和提高妇幼保健服务水平提供科学依据。方法:采用以医院为基础的监测方法,床位医生和县保健所人员收集入院孕产妇相关信息及网络直报的录入。调查内容包括孕产妇的个人信息、妊娠终止与合并症或并发症、抢救措施与抢救过程等。结果:2 281例孕产妇平均年龄为(25.9±4.6)岁,84.3%的孕产妇受教育程度在初中及以下,剖宫产率为53.5%;妊娠合并症或并发症的发生率随年龄的增大、妊娠次数的增加而升高,选择剖宫产的孕产妇合并症或并发症发生率较选择阴道分娩高,经χ2检验,差异均具有统计学意义(P<0.05);妊娠合并症或并发症前3位疾病病种依次是贫血(19.99%)、高血压类疾病(1.58%)和产科出血(1.32%)。结论:本市需制定有效措施改善产科质量,降低剖宫产率,同时加强孕产妇保健服务水平,针对青少年应加强性教育,减少妊娠合并症与并发症的发生。
Objective: To understand maternal complications and complications of pregnancy, to explore the related factors, to improve the quality of obstetrics and improve the level of maternal and child health care to provide a scientific basis. Methods: Using a hospital-based monitoring method, bedspace doctors and county health center staff collected information about maternal-related information and online direct reports. Survey includes personal information of pregnant women, termination of pregnancy and complications or complications, rescue measures and rescue process. Results: The average age of 2 281 pregnant women was (25.9 ± 4.6) years. 84.3% of the pregnant women were educated at junior high school and below, and the cesarean section rate was 53.5%. The incidence of complications or complication of pregnancy with age (P <0.05); Pregnancy complications (P <0.05); Pregnancy complications (P <0.05); Pregnancy complications Or the top three diseases of complications were anemia (19.99%), hypertension (1.58%) and obstetric hemorrhage (1.32%). Conclusion: The city need to develop effective measures to improve the quality of obstetrics, reduce the rate of cesarean section, while strengthening the level of maternal health services for young people should strengthen sexual education and reduce the incidence of complications and complications of pregnancy.