我国孕产妇妊娠合并症/并发症发生情况及其影响因素  

The Incidence and Influencing Factors of Pregnancy Complications in Chinese Women

作　　者：杨彩霞[1] 李静 张妍 周远忠 李玉艳 车焱 产后避孕项目组 YANG Cai-xia;LI Jing;ZHANG Yan;ZHOU Yuan-zhong;LI Yu-yan;CHE Yan(Department of Obstetrics,Tianjin Baodi Hospital,Tianjin 301800,China;Department of Obstetrics and Gynecology,Jinxi People′s Hospital,Jinxi 344800,Jiangxi Province,China;NHC Key Laboratory of Reproduction Regulation,Shanghai Engineering Research Center of Reproductive Health Drug and Devices,Shanghai-MOST Key Laboratory of Health and Disease Genomics,Shanghai Institute for Biomedical and Pharmaceutical Technologies,Shanghai 200237,China;Department of Health Toxicology,School of Public Health,Zunyi Medical University,Zunyi 563006,Guizhou Province,China)

机构地区：[1]天津市宝坻区人民医院产科,301800 [2]江西省金溪县人民医院妇产科 [3]上海市生物医药技术研究院,国家卫生健康委员会计划生育药具重点实验室,上海生殖健康药具工程技术研究中心,上海市疾病与健康基因组学重点实验室 [4]遵义医科大学公共卫生学院卫生毒理学教研室 [5]不详

出　　处：《国际妇产科学杂志》2023年第3期343-348,共6页Journal of International Obstetrics and Gynecology

基　　金：上海市生物医药技术研究院攀登计划资助项目(PD2017-10)。

摘　　要：目的:调查我国孕产妇妊娠合并症/并发症发生情况及其影响因素。方法:选取我国东、中、西部地区15个省(区、市)60家医院,采用结构式问卷调查,对分娩1~2年的产妇进行调查,记录其妊娠期、产时和产后合并症/并发症以及人口学特征、既往生育和疾病史等情况,采用无序多分类Logistic回归模型分析妊娠合并症/并发症的影响因素。结果:共调查18045例产妇,妊娠合并症/并发症发生率为25.04%,其中妊娠合并内外科疾病发生率为8.98%,胎儿及其附属物异常发生率为7.99%,妊娠并发症发生率为6.79%,分娩、产褥异常发生率为1.29%。妊娠合并症/并发症的发生风险与孕产妇年龄、流产次数、产次、分娩方式相关,且存在地区差异。结论:我国孕产妇妊娠合并症/并发症发生率较高,加强避孕服务,减少人工流产,对高风险妊娠患者增加产检次数并加强孕期保健,建议妊娠合并症/并发症较严重者就诊/转诊于三级医院,有助于降低妊娠合并症的发生风险及并发症的严重程度。Objective:To investigate the incidence and influencing factors of pregnancy complications in China.Methods:We recruited and interviewed women who had a live birth between 13 and 24 months after childbirth at 60 hospitals in 15 provinces(regions and cities)in the estern,central and western regions of China.Information on women′s demographic characteristics,occurrences of pregnancy complications,previous pregnancy and disease history,etc.was collected.We performed unordered multicategorical logistic regression to identify the influencing factors of pregnancy complications.Results:A total of 18045 maternal cases were interviewed.The incidence of pregnancy complications was 25.04%.8.98%women had internal diseases and/or surgical operations during pregnancy,7.99%experienced abnormal fetus and/or appendages,6.79%suffered pregnancy complications only,and 1.29%had abnormal labor and/or puerperium.The risk of pregnancy complications in Chinese women is associated with the age of pregnant women,the number of abortions,the number of deliveries and delivery method.Moreover,the probability of pregnancy complications varied between geographical regions in China.Conclusions:The incidence of maternal pregnancy complications in pregnant women in China is relatively high.Strengthening contraceptive services,reducing induced abortions,increasing the frequency of prenatal examinations for highrisk pregnancy patients,and strengthening pregnancy health care are recommended.It is recommended that those with severe pregnancy complications seek medical treatment/referral to tertiary hospitals,which can help reduce the risk of pregnancy complications and the severity of complications.

关 键 词：妊娠 妊娠并发症 调查和问卷 发病率 影响因素分析 

分 类 号：R714.2[医药卫生—妇产科学]