高龄产妇妊娠并发症及妊娠结局影响因素分析  

Analysis of factors influencing pregnancy complications and pregnancy outcome of elderly puerperas

作　　者：罗艳[1] 尹恒[1] LUO Yan;YIN Heng(Department of Obstetrics,Maternal and Child Health Hospital of Hubei Province,Hubei Wuhan 430070,China)

机构地区：[1]湖北省妇幼保健院产科,湖北武汉130070

出　　处：《中国妇幼健康研究》2021年第11期1595-1599,共5页Chinese Journal of Woman and Child Health Research

基　　金：湖北省卫生计生委2018年度第二批联合基金立项项目(WJ2018H0139)。

摘　　要：目的了解高龄产妇妊娠并发症发生情况,并对妊娠结局的影响因素予以分析。方法选择2016年11月至2018年3月于湖北省妇幼保健院分娩的136例高龄产妇(分娩时年龄≥35岁)及138例非高龄产妇为研究对象,对比分析高龄组与非高龄组妊娠并发症发生情况及妊娠结局差异,并对可能影响高龄产妇妊娠结局的因素予以多因素Logistic回归分析。结果高龄组妊娠期高血压疾病、妊娠期糖尿病、贫血、子宫肌瘤、前置胎盘、会阴裂伤发生比例明显高于非高龄组(χ^(2)值分别为7.309、6.104、5.828、4.726、6.765、4.748,P<0.05);高龄组产妇共分娩新生儿141例,非高龄组产妇共分娩新生儿144例,高龄组新生儿出生体重、早产、窒息、巨大儿比例及产妇产后出血、剖宫产比例均明显高于非高龄组(t/χ^(2)值分别为2.013、4.788、5.776、6.729、4.419、29.337,P<0.05);多因素Logistic回归分析结果显示,妊娠期高血压疾病、妊娠期糖尿病、贫血、子宫肌瘤、前置胎盘均为高龄产妇不良妊娠结局出现的高危因素,其OR值及95%CI分别为1.999(1.039~3.846)、3.198(1.869~5.471)、3.317(1.142~9.635)、4.367(2.573~7.411)、7.864(4.915~12.584),P<0.05。结论妊娠期高血压疾病、妊娠期糖尿病、贫血、子宫肌瘤、前置胎盘等妊娠并发症是导致高龄产妇不良妊娠结局的主要危险因素,故应充分做好高龄产妇孕期保健与教育,以改善其妊娠结局。Objective To understand the occurrence of pregnancy complications in elderly puerperas,and to analyze the influencing factors of pregnancy outcome.Methods A total of 136 elderly puerperas(age≥35 years old at delivery)and 138 non-elderly puerperas who gave birth in maternal and child health hospital of Hubei Province from November 2016 to March 2018 were selected as the research objects.The differences in the incidence of pregnancy complications and pregnancy outcomes between the elderly group and the non-elderly group were compared and analyzed,and multivariate Logistic regression analysis was performed on the factors that might affect the pregnancy outcomes of the elderly women.Results The incidences of hypertension in pregnancy,gestational diabetes,anemia,uterine fibroids,placenta previa,and perineal laceration in the elderly group were significantly higher than those in the non-elderly group(χ^(2)=7.309,6.104,5.828,4.726,6.765,4.748,respectively,P<0.05).A total of 141 newborns were delivered by puerperas in the elderly age group,and 144 newborns were delivered by puerperas in the non-elderly group.The birth weight,the proportion of premature delivery,asphyxia,macrosomia and the postpartum hemorrhage,cesarean section of the elderly group were significantly higher than those of the non-elderly group(t/χ^(2)=2.013,4.788,5.776,6.729,4.419,29.337,respectively,P<0.05).The results of multivariate Logistic regression analysis showed that hypertension in pregnancy and diabetes in pregnancy,anemia,uterine fibroids,and placenta previa were all high-risk factors for adverse pregnancy outcomes in elderly puerperas.The ORs value and 95%CI were 1.999(1.039-3.846),3.198(1.869-5.471),3.317(1.142-9.635),4.367(2.573-7.411),7.864(4.915-12.584),respectively,P<0.05.Conclusion Pregnancy complications such as hypertension in pregnancy,gestational diabetes,anemia,uterine fibroids,placenta previa and other pregnancy complications are the main risk factors leading to adverse pregnancy outcomes of elderly puerperas.Therefore,health c

关 键 词：高龄产妇 妊娠并发症 妊娠结局 孕期保健 

分 类 号：R715.3[医药卫生—妇产科学]