232例青少年初产的围产结局分析  

Analysis of perinatal outcomes in 232 adolescent primiparas

作　　者：蔡惠芬[1] 刘小燕[1] 王江[1] 吴琳[1] 常青[1] 

机构地区：[1]第三军医大学西南医院妇产科,重庆400038

出　　处：《第三军医大学学报》2017年第15期1574-1577,共4页Journal of Third Military Medical University

摘　　要：目的比较青少年初产妇与其他年龄段初产妇产科并发症、合并症和妊娠结局的差异。方法回顾分析第三军医大学西南医院2005年1-12月产科分娩的孕前无合并症的初产妇的临床资料,按年龄分为青少年组(≤19岁,232例)、>19~<35岁组(464例)和高龄组(≥35岁,464例),比较其一般情况、产科并发症、合并症及其妊娠结局。结果青少年组未婚、高中以下文化程度、无职业、初次怀孕、早产率和妊娠合并贫血、软产道裂伤比例均高于>19~<35岁组和高龄组,青少年组孕期平均增加体质量、剖宫产率、妊娠期糖尿病、前置胎盘发生率及新生儿平均体质量低于>19~<35岁组和高龄组,青少年组中妊娠期高血压疾病的发生率高于>19~<35岁组,差异均有统计学意义(P<0.05),但与高龄组比较差异无统计学意义(P>0.05);3组间比较,妊娠期肝内胆汁淤积症和胎膜早破的发生率差异无统计学意义(P>0.05)。结论青少年和高龄初产妇妊娠并发症和合并症多,但前者的妊娠结局较后者更易改善。Objective To compare the differences in the obstetrical complications, comorbidities and pregnancy outcomes among the primiparas in adolescence and those at other age groups. Methods A retrospective study was carried out on the primipara patients without complications before pregnancy and delivered in our department from January 2005 to December 2015. These primiparous women were divided into adolescent group （≤19 years old, n=232）, young group （〉19~〈35 years old, n=464） and elderly group （≥35 years old, n=464）. Their general information, obstetrical complications and comorbidities, and pregnancy outcomes were compared among the 3 groups. Results The proportions of unmarried, no job, first pregnancy, premature delivery, pregnancy with anemia, soft birth canal laceration, and educational level lower than senior middle school were significantly higher in those teenager mothers than the 〉19~〈35 years old group and the elderly group （P〈0.05）. The average pregnancy weight gain and newborn weight, and the incidence rates of cesarean, gestational diabetes mellitus and placenta previa were lower in the adolescent group than other 2 groups （P〈0.05）. The incidence of gestational hypertension was obviously higher in the adolescent group than the 〉19~〈35 years old group （P〈0.05）, but significant difference was found when compared with the elderly group （P〉0.05）. There were no differences in occurrences of intrahepatic cholestasis of pregnancy and premature rupture of membranes among the 3 groups （P〉0.05）. Conclusion The incidence rates of pregnancy complications and comorbidities are common in the adolescent primiparas and the other age groups, but the outcomes are easy to improved in the adolescent.

关 键 词：青少年初产 妊娠 围产结局 

分 类 号：R195.1[医药卫生—卫生统计学]