人工流产史对初次分娩结局的影响  

The effect of induced abortion history on the first delivery outcome

作　　者：李萍 吴慧丽 孙佳 董白桦[2] LI Ping;WU Huili;SUN Jia;DONG Baihua(The Second Affiliated Hospital of Shandong First Medical University,Shandong Province,271000;Qilu Hospital,Shandong University)

机构地区：[1]山东第一医科大学第二附属医院,271000 [2]山东大学齐鲁医院

出　　处：《中国计划生育学杂志》2020年第10期1548-1551,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨人工流产史对女性初次分娩早产、小于胎龄儿及低出生体重儿的影响。方法:收集2015年1月—2017年12月在本院初产妇女4441例临床资料,分析有无人工流产史对早产、小于胎龄儿及低出生体重儿的影响。结果:人工流产史不是早产发生的独立危险因素(OR:1.51,95%CI 0.89~2.57,P>0.05;wald 2.28);早期流产史为小于胎龄儿发生的独立危险因素(OR:1.61,95%CI 1.20~2.16),是低出生体重儿发生的独立危险因素(OR=1.43,95%CI 1.06~1.93)。结论:人工流产史增加初次分娩小于胎龄儿和低出生体重儿的发生风险。Objective: To explore the effect of unintended abortion history on premature delivery, infants smaller than gestational age, and low birth weight of primipara when the first delivery. Methods: The clinical data of 4441 primipara from January 2015 to December 2017 were analyzed retrospectively. The effects of unintended abortion history of these women on their premature delivery, infants smaller than gestational age, and low birth weight were analyzed. Results: Abortion history was not an independent risk factor of premature birth(OR 1.51, 95% CI 0.89-2.57, P>0.05, Wald 2.28). Abortion history during the first trimester of pregnancy was an independent risk factor of infant smaller than gestational age(OR 1.61, 95% CI 1.20-2.16, P<0.05, Wald 10.04). Abortion history during the first trimester of pregnancy was an independent risk factor of low birth weight(OR 1.43, 95% CI 1.06-1.93, P<0.05, Wald 5.50). Conclusion: Abortion history of primipara increases the risk of infant smaller than gestational age or low birth weight.

关 键 词：人工流产史 早产 低出生体重 小于胎龄儿 分娩结局 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]