孕产妇高危妊娠的影响因素及风险评估管理策略分析  

Analysis of factors influencing high-risk pregnancy and risk assessment management strategies

作　　者：胡莹莹 应静霞 Hu Yingying;Ying Jingxia(Yongkang Maternal and Child Health Hospital,Yongkang,Zhejiang 321300,China)

机构地区：[1]永康市妇幼保健院,浙江永康321300

出　　处：《中国公共卫生管理》2025年第1期110-113,共4页Chinese Journal of Public Health Management

摘　　要：目的调查永康市孕产妇高危妊娠的流行特征,探讨其相关影响因素,为实施风险评估管理策略提供参考。方法采用便利抽样法,选取2022—2023年到永康市妇幼保健院住院分娩的221名孕产妇作为研究对象,并根据是否发生高危妊娠,将其分为高危妊娠组(n=116)及非高危妊娠组(n=105)。采用χ^(2)检验与二元logistic回归分析影响孕产妇发生高危妊娠及不良妊娠结局的相关因素。结果年龄≥35岁、孕期身体质量指数水平≥25 kg/m^(2)、产次>1次、文化程度高中以下、户籍农村及产前超声检测次数<5次均为影响孕产妇发生高危妊娠的相关因素(OR=4.851、2.818、2.925、3.034、3.599、4.012,P<0.05)。高危妊娠组不良妊娠结局发生率高于非高危妊娠组,差异有统计学意义(P<0.05)。结论永康市妇幼保健院中孕产妇高危妊娠发生率较高,需针对性干预相关影响因素,采用风险评估管理,加强妊娠风险评估及筛查,提高母婴健康水平。Objective To investigate the prevalence characteristics of high-risk pregnancies in Yongkang area,explore the relevant influencing factors,and to provide reference for the implementation of risk assessment management strategies.Methods Convenience sampling method was used to select 221 cases of pregnant women who went to Yongkang Maternal and Child Health Hospital for inpatient delivery in 2022-2023 as the research subjects,and they were divided into the high-risk pregnancy group(n=116)and the non-high-risk pregnancy group(n=105)according to whether or not high-risk pregnancy had occurred.Chi-square test and binary logistic regression model was used to analyze the factors affecting the correlates influencing the occurrence of high-risk pregnancies and adverse pregnancy outcomes in maternity.Results Age≥35 years,body mass index during pregnancy≥25 kg/m^(2),parities>1 times,literacy level below high school,registered rural areas and antenatal ultrasound tests<5 times were associated factors influencing the occurrence of high-risk pregnancies(OR=4.851,2.818,2.925,3.034,3.599,4.012,P<0.05).The incidence of adverse pregnancy outcomes was higher in the high-risk pregnancy group than in the non-high-risk pregnancy group,the difference was statistically significant(P<0.05).Conclusion The incidence of high-risk pregnancies among pregnant women in Yongkang Maternal and Child Health Hospitals is relatively high,targeted interventions are needed to address relevant influencing factors,adopt risk assessment management,strengthen pregnancy risk assessment and screening,and improve maternal and infant health levels.

关 键 词：孕产妇 不良妊娠结局 产次 高危因素 

分 类 号：R714[医药卫生—妇产科学]