河南卫辉市农村地区育龄妇女不良妊娠风险流行病学调查

发布时间：2018-01-23 10:31

  本文关键词： 计划生育妇女 不良妊娠 流行病学 农村　出处：《中国公共卫生》2017年07期 　论文类型：期刊论文

【摘要】：目的了解河南省卫辉市农村地区育龄妇女孕前健康检查及妊娠结局情况,探讨豫北农村地区育龄妇女不良妊娠的可能危险因素,为实现优生优育提供参考。结论计划妊娠妇女应避免吸烟及被动吸烟,保持理想的BMI,远离农药、有害毒物及猫狗等动物,加强生殖道的健康防护意识能够减少不良妊娠结局的发生。方法于2014年1月1日—2014年12月31日在河南省卫辉市选择自愿参与孕前免费健康检查的2 125名农村计划生育妇女为研究对象,了解一般情况、孕前健康及妊娠结局情况等,利用SPSS 19.0统计软件进行单因素及多因素的logistic回归分析。结果 2 125名妇女中受孕者914人,妊娠率达到43.0%,其中出现不良妊娠结局的78人,占8.5%;单因素logistic回归分析结果显示,不良妊娠结局与年龄(OR=2.209,95%CI=1.130~4.319)、受教育程度(OR=0.443,95%CI=0.297~0.659)、是否吸烟或者被动吸烟≥3h/d(OR=3.659,95%CI=1.875~7.139)、丈夫是否吸烟(OR=2.333,95%CI=1.221~4.460)、BMI(OR=0.645,95%CI=0.483~0.861)、是否初次妊娠(OR=0.142,95%CI=0.072~-0.288)、是否与有害毒物及猫狗接触史(OR=7.268,95%CI=2.370~22.286)、是否有生殖道感染(OR=2.750,95%CI=1.267~5.967)有相关性;多因素条件回归分析显示,有生殖道感染(OR=4.103,95%CI=1.544~-10.904)、与有害毒物及猫狗接触史(OR=3.260,95%CI=1.145~9.282)、吸烟或者被动吸烟3h/d(OR=3.127,95%CI=1.009~-9.694)、BMI偏低(OR=2.617,95%CI=1.147~5.973)均是不良妊娠结局的危险因素,初次妊娠是保护因素(OR=0.114,95%CI=0.114~0.319)。结论计划妊娠妇女应避免吸烟及被动吸烟,保持理想的BMI,远离农药、有害毒物及猫狗等动物,加强生殖道的健康防护意识能够减少不良妊娠结局的发生。
[Abstract]:Objective to investigate the pre-pregnancy health examination and pregnancy outcome of women of childbearing age in rural areas of Weihui City, Henan Province, and to explore the possible risk factors of poor pregnancy among women of childbearing age in rural areas of northern Henan Province. Conclusion pregnant women should avoid smoking and passive smoking, maintain ideal BMIs, avoid pesticides, harmful poisons, cats and dogs and other animals. To strengthen the awareness of health protection of the reproductive tract can reduce the occurrence of adverse pregnancy outcome. Methods from January 1st 2014 to December 31st 2014 in Weihui, Henan Province, choose to volunteer to participate in free pre-pregnancy health examination. Check 2. 125 rural family planning women were studied. To understand the general situation, pre-pregnancy health and pregnancy outcome. Univariate and multivariate logistic regression analysis was carried out with SPSS 19.0 software. Results 914 of 2 125 women were pregnant, and the pregnancy rate was 43.0%. Among them, 78 cases (8.5%) had adverse pregnancy outcomes. The results of univariate logistic regression analysis showed that the adverse pregnancy outcome and age were 2.209 / 95 / 1.130 / 4.319). The education level was 0.44395 / 0.2970.59, and whether smoking or passive smoking was more than 3 h / d = 3.659. The number of CIUs is 1.875 / 7.139, and whether the husband is smoking or not is 2.333 / 95. The CIQ is 1.221 / 4.460 / BMIO / 0.645. 95 CIQ 0.483 / 0.861g, whether the first pregnancy is 0.142 / 95 / 0. 072% -0.288). Do you have contact with harmful poisons and cats and dogs?? 7.268? 95? CI2. 370? 22.286??? (95) CII 1.267 ~ 5.967); Multivariate conditional regression analysis showed that there were reproductive tract infections (4.103C95), 1.54 44-10.904, and 3.260 contact with harmful poisons and cats and dogs. 95 CI1.145 / 9.282, smoking or passive smoking / 3 / h / d / d ~ (1. 127) / 95 / 95 CIQ = 1. 009 ~ 9. 694). BMI was 2.61795.973) and the first pregnancy was the protective factor (0.114). Conclusion pregnant women should avoid smoking and passive smoking, maintain ideal BMIs and stay away from pesticides, poisons, cats and dogs. Strengthening the awareness of health protection in the reproductive tract can reduce the occurrence of adverse pregnancy outcomes.
【作者单位】： 新乡医学院第一附属医院妇产科;新乡医学院护理学院;新乡医学院第一附属医院皮肤科;
【基金】：河南省人口和计划生育科学技术研究项目(20150312)
【分类号】：R181.3;R714.2
【正文快照】： 2012年国家卫生和计划生育委员会发布的数据显示,我国出生缺陷发生率为5.6%,每年新增出生缺陷数约90万例,出生缺陷是不良妊娠结局中的一种,也是造成早期流产、死胎、死产等不良妊娠结局的主要原因,并且大多数存活者伴随终身患病或者残疾[1-2],严重影响人口健康素质的提高和社，

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