云南省农村育龄夫妇不良妊娠结局与危险因素暴露关系研究  

Relationship of adverse pregnancy outcome and risk factors among Yunnan rural couples of childbearing age

作　　者：袁彦玲 叶汉风 速存梅 王建兰 游顶云[2] 李根瑞 

机构地区：[1]云南省人口和计划生育科学技术研究所,昆明650021 [2]昆明医学院

出　　处：《中国计划生育学杂志》2012年第7期463-466,共4页Chinese Journal of Family Planning

基　　金：云南省科技厅科技计划项目"孕前保健标准操作规范(SOP)的研究及示范"(社会发展2007CA008);国家"十一五"科技支撑计划项目"出生缺陷监测与综合干预模式与示范研究"(2006BAI05A02)

摘　　要：目的:调查农村育龄人群生活习惯及环境危险因素暴露情况以及基本孕前保健服务的提供情况。方法:采取定量研究的方法,对云南省3个项目县1年内有活产史的8 677对育龄夫妇进行问卷调查,相关因素进行χ2检验和logistic回归分析。对计划生育服务提供者和育龄夫妇进行研究相关内容的个人访谈。结果:不良妊娠结局的发生率为10.16%,列前3位是早产(38.63%)、巨大儿(26.93%)、低出生体重(25.45%),妊娠年龄、男性吸烟以及吸烟量、女性饮酒、是否服用叶酸、是否计划妊娠、妊娠期间的心理感受和人际关系等12个因素为不良妊娠结局的危险因素。定性访谈也验证了这一结果。结论:农村育龄妇女围孕期危险因素暴露比例较高,与不良妊娠结局相关性较大的危险因素中,社会和不良生活方式为主要相关因素,建议通过有效的健康教育和为计划妊娠家庭提供安全、规范和个性化孕前优生健康检查服务,以最大限度地减少或消除不良生活方式和行为等危险因素。Objective： To explore the life style and environmental risk factors as well as the provision of basic preconception care among Yunnan rural couples of childbearing age. Methods： A total of 8 677 childbearing aged couples who had a llve birth history within one year in three project counties of Yunnan Province were investigated with a questionnaire, and 8 656 valid questionnaires were obtained. The correlating items were analysed using chi - square test and logistic regression. Family planning service providers and childbearing aged couples were interviewed personally. Results ： The incidence rate of adverse pregnancy outcome was 10.16% ,and the top three list were premature birth （38.63%） , macrosomia （26.93%）, low birth weight （25.45%）. The results of multiple regression analysis showed that the risk factors for adverse pregnancy outcome were gestational age, male smoking and tobacco consumption, maternal drinking and use of folic acid, planned pregnancy, psychological feelings and interpersonal relationships during pregnancy. Qualitative interviews also verified this result. Conclusion： The proportion of rural childbearing aged women exposuring to risk factors is very high. Social history and unhealthy lifestyle are the main related factors with adverse pregnancy outcome. Providing planned pregnancy family with effective health education and a safe, standard and personalized pre - pregnancy health examination service may reduce or eliminate risk factors, such as the unhealthy life style and behaviors.

关 键 词：生活习惯 环境因素 危险因素 不良妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学]