新冠肺炎疫情流行期间的生活环境改变对分娩结局的影响  

Influence of changes in living environment on delivery outcome during the COVID-19 epidemic

作　　者：高素红[1] 安航 王斌[2] 王硕 薛涛[2] 刘晓红[1] 李智文[2] GAO Suhong;AN Hang;WANG Bin;WANG Shuo;XUE Tao;LIU Xiaohong;LI Zhiwen(Haidian Maternal and Child Health Care Hospital,Beijing 100080,China)

机构地区：[1]北京市海淀区妇幼保健院,100080 [2]北京大学生育健康研究所/国家卫生健康委员会生育健康重点实验室,100191

出　　处：《中国生育健康杂志》2023年第3期248-253,共6页Chinese Journal of Reproductive Health

基　　金：国家卫生健康委能力建设和继续教育中心项目(GWJJ2020100101)。

摘　　要：目的探索新冠肺炎疫情期间生活环境的改变对孕妇及新生儿健康的影响,从而揭示新冠肺炎疫情对孕妇分娩结局的间接影响。方法以2020年1月—9月在海淀区妇幼保健院住院分娩单胎、活产的孕妇为研究对象,对照组为2017年、2018年、2019年1月至9月在海淀区妇幼保健院住院分娩单胎、活产的孕妇,对两组孕妇及新生儿情况进行对比分析。结果2020年1—3月份剖宫产率较疫情前升高,4—6月、7—9月剖宫产率的差异无统计学意义。采用无痛分娩的孕妇在2020年1—3月、4—6月、7—9月均比疫情前同期增加。2020年4—6月、7—9月与疫情前三年同期相比,新生儿的出生体重降低,疫情前后1—3月新生儿体重的差异无统计学意义。疫情前后,早产、低出生体重儿、巨大儿的发生率差异无统计学意义。结论新冠肺炎疫情期间生活环境的改变,对非感染孕妇分娩结局的影响有限,除了新冠肺炎大流行期间剖宫产率的上升。Objective Explore the impact of changes in the living environment on the health of pregnant women and newborns during the COVID-19 epidemic and to reveal the indirect impact of the COVID-19 epidemic on the delivery outcomes of pregnant women.Methods The pregnancy outcome between pregnant women who gave birth to singletons and live births in Haidian District Maternal and Child Health Hospital from January to September 2020 and pregnant women who gave birth to singletons and live births in the same hospital from January to September 2017,2018 and 2019 were compared.Results The cesarean section rate in January to March 2020 was higher than that before the epidemic,and this difference was not found in April to June and July to September.The proportion of pregnant women who demanded painless delivery increased from January to March,April to June and July to September 2020 compared with the same period before the epidemic.In April to June and July to September 2020,compared with the same period three years before the epidemic,the birth weight of newborns decreased,and there was no statistical difference between the birth weight of newborns in January to March before and after the epidemic.There was no statistical difference in the incidence of premature birth,low birth weight and macrosomia between before and after the epidemic.Conclusion The change of living environment during the COVID-19 epidemic had limited impact on the delivery outcome of non-infected pregnant women,except for the increase of cesarean section rate.

关 键 词：新冠肺炎疫情 剖宫产 出生体重 无痛分娩 

分 类 号：R17[医药卫生—妇幼卫生保健] R71[医药卫生—公共卫生与预防医学]