初产妇孕期负性生活事件调查及不良妊娠结局分析  

Investigation of prenatal negative life events and pregnancy outcomes analysis of primiparas

作　　者：刘小玮[1] 王怡 王蕊[1] LIU Xiaowei;WANG Yi;WANG Rui(Xuanwu Hospital,Capital Medical University,Beijing,100054)

机构地区：[1]首都医科大学宣武医院,北京100054

出　　处：《中国计划生育学杂志》2023年第5期1027-1031,共5页Chinese Journal of Family Planning

摘　　要：目的:调查初产妇孕期负性生活事件发生情况,分析其对妊娠结局的影响。方法:分析2020年10月-2022年8月本院分娩的328例初产妇临床资料,收集一般临床资料、妊娠结局、孕期负性生活事件发生情况等信息,比较不同妊娠结局初产妇孕期负性生活事件发生率,采用logistic回归模型分析负性生活事件对妊娠结局的影响。结果:孕期发生了负性生活事件共34例(10.4%),早产者发生率(18.9%)高于足月产(9.4%)和过期产(3.7%)者,娩出低出生体重儿者发生率(20.8%)高于娩出正常体重儿(9.7%)和巨大儿者(8.7%)(均P<0.05);回归分析,孕期负性生活事件为初产妇发生早产(OR=1.244,95%CI 1.049~1.511)和娩出低出生体重儿(OR=1.305,95%CI 1.067~1.656)的独立影响因素,孕期家庭问题负性生活事件(OR=1.347,95%CI 1.084~1.481)为初产妇发生不良妊娠结局的独立影响因素。结论:本次调查的初产妇孕期经历了负性生活事件发生率为10.4%,可增加早产和娩出低出生体重儿等不良妊娠结局发生风险,其中家庭问题负性生活事件需引起更多社会关注。Objective:To investigate the occurrence of prenatal negative life events of primiparas,and to analyze its in-fluence on the pregnancy outcomes.Methods:The clinical data of 328 primiparas who had delivery in hospital from October 2020 to August 2022 were analyzed.The general clinical data,pregnancy outcomes,and occurrence of prenatal negative life events of the primiparas were collected.The incidence of prenatal negative life events were compared a-mong the primiparas with different pregnancy outcomes.The influence of the prenatal negative life events of the pri-miparas on their pregnancy outcomes was analyzed by Logistic regression model.Results:A total of 34(10.4%)pri-miparas had prenatal negative life events.The incidence of prenatal negative life events(18.9%)of the primiparas with premature delivery was significantly higher than that(9.4%)of the primiparas with full-term pregnancy,and that(3.7%)of the primiparas with post-term pregnancy.The incidence of prenatal negative life events(20.8%)of the pri-miparas with low birth weight of the newborns was significantly higher than that(9.7%)of the primiparas with normal birth weight of the newborns and that(8.7%)of the primiparas with macrosomia(all P<0.05).Regression analysis showed that the prenatal negative life events of the primiparas were the independent factors of their preterm delivery(OR=1.244,95%CI 1.049-1.511)and the low birth weight of their newborns(OR=1.305,95%CI 1.067-1.656).The prenatal negative life events of family problems of the primiparas was an independent factor for their adverse pregnancy outcomes(OR=1.347,95%CI 1.084-1.481).Conclusion:In this study,about 10.4%of primiparas has experienced the prenatal negative life events,which may increase the risk of adverse pregnancy outcomes,such as premature deliv-ery and low birth weight infants.The prenatal negative life events of family problems of the primiparas should be paid more attention by society.

关 键 词：初产妇 孕期负性生活事件 不良妊娠结局 影响因素 

分 类 号：R714[医药卫生—妇产科学]