2021年河北省新生儿低体重发生率及影响因素  

Incidence and influencing factors of the low birth weight newborn in Hebei,2021

作　　者：杜立燕[1] 田美玲 孟凡学 张英奎[1] DU Liyan;TIAN Meiling;MENG Fanxue;ZHANG Yingkui(Hebei Women and Children′s Health center,Shijiazhuang 050000,China)

机构地区：[1]河北省妇幼保健中心信息管理科,石家庄050000 [2]河北省人民医院妇产科

出　　处：《中国生育健康杂志》2023年第4期345-348,352,共5页Chinese Journal of Reproductive Health

摘　　要：目的了解河北省2021年新生儿低出生体重的发生率,并分析其影响因素,为制定妇幼健康工作政策和规划提供可靠依据。方法回顾性分析2021年1月1日至12月31日河北省危重孕产妇监测的22所医院出院的妊娠满28周及以上分娩的所有单胎活产儿的孕产妇及新生儿数据,包括院内所有科室死亡的孕产妇,最后共纳入52504例,孕妇年龄14~46岁,分娩孕周28~43周。22家危重孕产妇监测医院分布在全省15个县(市、区),分析新生儿低出生体重发生率及其影响因素。结果本研究共纳入单胎活产儿52504例,低出生体重发生率为3.6%。多因素Logistic回归分析显示,分娩医院为三级医院、年龄<20岁、有合并症/并发症、胎盘早剥、妊娠期高血压疾病、早产是新生儿发生低出生体重的危险因素;母亲受教育程度为本科及以上、经产妇、糖尿病和贫血是新生儿发生低出生体重的保护因素。结论应识别高危人群,规范管理,开展针对性防治工作,切实减少新生儿低出生体重的发生风险。Objective To analyze the incidence and influencing factors of the low birth weight(LBW)newborn in Hebei Province in 2021,and to provide a reliable basis for formulating policies and plans for maternal and child health work.Methods This is a retrospective study.Clinical data of≥28w pregnant women with single live births were collected from 22 monitoring hospitals in Hebei Province from January 12021 to December 312021.Pregnant women who died in all departments of the hospital were included in the study.A total of 52504 singleton live births were included in this study.The age of pregnant women ranged from 14 to 46 years,and the gestational age of delivery ranged from 28 to 43 weeks.The 22 monitoring hospitals were distributed in 15 counties(cities and districts)in the province.And the incidence of LBW and its influencing factors were analyzed.Results A total of 52504 singleton live births were included in this study,and the incidence of LBW was 3.6%.Multivariate logistic regression analysis showed that delivery in third grade hospital,maternal age<20 years,with comorbidities/complications,placental abruption,hypertension in pregnancy,and premature delivery were risk factors for LBW;mothers with education level of bachelor degree or above,multiparous,diabetes and anemia were the protective factors.Conclusion High-risk groups should be identified,management should be standardized,and targeted prevention and treatment should be carried out to effectively reduce the incidence of LBW.

关 键 词：河北省 新生儿 低出生体重 发生率 影响因素 

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]