生育政策调整前后贵州省某三甲医院分娩产妇特征变化分析  

Analysis on the Changes of Parturient Characteristics in a Tertiary Hospital of Guizhou Province before and after the Adjustment of Fertility Policy

作　　者：陈英[1] 戴石元[1] 聂钊[1] CHEN Ying;DAI Shi-yuan;NIE Zha(Guizhou Provincial People’s Hospital,Guiyang,Guizhou,550004,China)

机构地区：[1]贵州省人民医院

出　　处：《中国初级卫生保健》2019年第9期38-40,共3页Chinese Primary Health Care

摘　　要：目的通过分析生育政策调整前后分娩产妇的人数及特征变化,了解政策实施效果,为加强产妇规范化管理提供依据。方法通过摘录首页病历资料的方法,选取2014—2017年贵州省某三甲医院产科住院分娩产妇信息,对各年份住院分娩产妇的特征变化进行比较分析。结果近四年,入院分娩人数总体呈上升趋势,共增加410人,增长率为11.61%,平均生产年龄逐年上升(P<0.05);高龄产妇人数、生育二孩人数呈逐年上升趋势(P<0.05);高危因素发生情况发生变化,瘢痕子宫、胎儿宫内窘迫、妊娠糖尿病以及甲功异常产妇发生率逐年上升(P<0.05),胎膜早破、妊娠高血压、巨大儿以及肝内胆汁淤积症等产妇发生率呈下降趋势(P<0.05),患有两种或两种以上高危因素产妇发生率增加。结论生育政策调整后,尤其是"全面二孩"政策的实施,促进育龄期妇女的生育积极性;重视患有多种高危因素的产妇,加强对高龄、二孩产妇、瘢痕子宫、胎儿窘迫、妊娠糖尿病以及甲功异常等高危产妇管理;加大产科投入,满足孕产妇卫生需求及提升面对高危产妇应对能力,保障产妇及新生儿生命健康。OBJECTIVE To analyze the number and characteristics of parturient women before and after birth policy adjustment,and to un derstand the effect of policy implementation, so as to provide the basis for strengthening the standardized management of puerperal. METHODS By extracting the medical records data,it acquired maternity information for obstetric hospitalization in a tertiary general hos pital in Guizhou from 2014 to 2017,comparative analysis was conducted on the changes of the characteristics of hospitalized women in different years. RESULTS In the past 4 years,the number of hospitalized births had increased by a total of 410,with an increase of 11.61%;the average age of production rose year by year(P<0.05). The number of elderly mothers and the number of the second chil dren pregnant women are increasing year by year(P<0.05);the incidence of risk factors changed;the incidence of scar uterus,fetal intrauterine distress,gestational diabetes mellitus,abnormal thyroid function and placental abnormalities in puerpera increased year by year(P<0.05);the incidence of premature rupture of membranes,pregnancy hypertension,macrosomia,intrahepatic cholestasis and other maternal diseases showed a decreasing trend(P<0.05),an increased incidence of women with two or more risk factors. CONCLU SION After the adjustment of fertility policy,especially the implementation of the“Comprehensive Two-Child”policy,it could promote the fertility of women of childbearing age in guizhou province,pay attention to women with multiple risk factors,strengthen the manage ment of high-risk puerpera,such as elderly women,women who give birth to a second child,scar uterus,fetal distress,gestational di abetes mellitus,and abnormal thyroid function;increase input in obstetrics to meet maternal health needs and improve the ability of high-risk women to cope with them,so as to ensure the life and health of women and newborns.

关 键 词：生育政策 分娩产妇 特征变化 

分 类 号：R1-9[医药卫生—公共卫生与预防医学]