不同产次、年龄孕妇妊娠并发症发生情况及妊娠结局分析

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Abstract Objective To analyze the pregnancy complications and pregnancy outcomes in pregnant women of different production time and ages. Methods From January 2017 to December 2019, 10 300 pregnant women admitted to the People’s Hospital of Yi’nan County, Shandong Province were selected as research objects. According to the production time, they were divided into primipara group (3535 cases) and multipara group (6765 cases); according to the age, they were divided into <25 years old group (1296 cases), 25-30 years old group (2581 cases), >30-35 years old group (3976 cases), >35-40 years old group (1795 cases), and >40 years old group (652 cases). The incidence of pregnancy complications and pregnancy outcomes in pregnant women of different production time and ages, such as hypertensive disorder complicating pregnancy (HDCP), gestational diabetes mellitus (GDM), premature rupture of fetal membranes (PROM), fetal growth restriction (FGR), placenta previa, etc. were compared. Results The incidence of HDCP, GDM, PROM, FGR, placenta previa, and oligohydramnios in different age groups were statistically significant (all P < 0.05). Cesarean section rate and the incidence of perinatal death, premature delivery, neonatal asphyxia, macrosomia and postpartum hemorrhage in different age groups were statistically significant (all P < 0.05). The incidence of HDCP, GDM and PROM in multipara group were higher than those in pluripara group, while the incidence of FGR was lower than that in primipara group, and the differences were statistically significant (all P < 0.05). There were no significant difference in the incidence of placenta previa and oligohydramnios between two groups (P > 0.05). The incidence of preterm birth, cesarean section, neonatal asphyxia and macrosomia in multipara group were higher than those in primipara group, and the differences were statistically significant (all P < 0.05). There were no significant differences in the incidence of perinatal death and postpartum hemorrhage between two groups (P > 0.05). Conclusion Pregnancy complications and pregnancy outcomes are different in pregnant women of different production time stages and ages. In order to further reduce the incidence of pregnancy complications and improve the pregnancy outcome, it is necessary to strengthen pregnancy care and prenatal screening, and do a good job in pregnancy care and health education.

Key words： Production time Age Pregnancy complications Pregnancy outcomes

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	HUANG Chuanyu

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HUANG Chuanyu. Analysis of pregnancy complications and pregnancy outcomes in pregnant women of different production time and ages[J]. 中国医药导报, 2021, 18(3): 120-123,127.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I3/120

[1] 陆蓓亦，韩波，胡慧文，等.新生育政策下孕妇年龄的变化及对母婴并发症的影响[J].中华围产医学杂志，2019， 22（3）：157-163.
[2] 傅勤，林建华.结构性心脏病孕妇年龄与妊娠结局的分析[J].中华妇产科杂志，2018，53（4）：221-226.
[3] 陈云燕，吴晓云，陈亚宁.不同年龄段高龄经产妇妊娠特点及妊娠结局临床分析[J].浙江临床医学，2019（6）：795-796.
[4] 谢幸，苟文丽.妇产科学[J].8版.北京：人民卫生出版社，2013.
[5] 颜冬，李艳，王琪，等.妊娠高血压疾病患者胱抑素C、超敏C反应蛋白及同型半胱氨酸水平的变化及其诊断价值分析[J].湖南师范大学学报：医学版，2018，15（3）：75-77.
[6] 崔艳婷.孕妇妊娠年龄与妊娠高危因素及妊娠结局的相关性[J].中国妇幼保健，2019，34（21）：4869-4871.
[7] Pinheiro RL，Areia AL， Mota Pinto A，et al. Advanced Maternal Age：Adverse Outcomes of Pregnancy，A Meta-Analysis [J]. Acta Med Port，2019，32（3）：219-226.
[8] Kanmaz AG，■nan AH， Beyan E，et al. Effect of advanced maternal age on pregnancy outcomes a single-centre data from a tertiary healthcare hospital [J]. J Obstet Gynaecol，2019，39（8）：1104-1111.
[9] 李嘉慧，谢诚文，曾令红，等.高龄产妇妊娠分娩结局的临床现状研究[J].中国现代医生，2020，58（28）：188-192.
[10] Bayrampour H，Heaman M，Duncan KA，et al. Comparison of perception of pregnancy risk of nulliparous women of advanced maternal age and younger age [J]. J Midwifery Womens Health，2012，57（5）：445-453.
[11] Bayrampour H，Heaman M. Advanced maternal age and risk perception：a qualitative study [J]. BMC Pregnancy Childbirth，2012，12：100.
[12] 傅小英，叶朝辉.200例妊娠期糖尿病孕妇围产结局分析[J].中国现代医生，2018，56（2）：50-53.
[13] 王金凤.妊娠期糖尿病危险因素及对妊娠结局的影响[J].中国医药导报，2017，14（24）：135-138.
[14] 俞晓敏，古航.高龄孕妇妊娠合并症和并发症临床分析[J].第二军医大学学报，2018，39（2）：159-164.
[15] 宗璐，李春芳，黄谱，等.高龄产妇剖宫产产后出血高危因素分析及术中预防措施探讨[J].中国妇幼健康研究，2017，28（12）：1671-1674.
[16] 邓松清，王子莲，陈海天.不同年龄孕妇妊娠中期血脂特点分析[J].中国实用妇科与产科杂志，2015，31（12）：1129-1132.
[17] Mustafa M，Bogdanet D，Khattak A，et al. Early gestational diabetes （GDM） is associated with worse pregnancy outcomes compared to GDM diagnosed at 24-28 weeks gestation despite early treatment [J]. QJM，2020. doi：10. 1093/qjmed/hcaa167.
[18] 王振宇，李映桃，郭慧，等.妊娠合并糖尿病的发生情况及其分娩并发症与产妇年龄的关系[J].山东医药，2019， 59（7）：80-82.
[19] 邓松清，王子莲，陈海天.不同年龄孕妇妊娠中期血脂特点分析[J].中国实用妇科与产科杂志，2015，31（12）：1129-1132.
[20] Antza C，Cifkova R，Kotsis V. Hypertensive complications of pregnancy： A clinical overview [J]. Metabolism，2018， 86：102-111.
[21] 王小玲.不同年龄孕妇妊娠并发症及妊娠结局分析[J].山西医药杂志，2019，48（21）：2658-2660.
[22] 张文静，朱颖军.不同年龄段高龄经产妇妊娠特点及结局分析[J].江苏医药，2019，45（4）：356-359.
[23] 陈宇，郑晓莉，伍绍文，等.不同年龄段高龄孕产妇临床特点与妊娠结局的分析[J].中华妇产科杂志，2017，52（8）：508-513.
[24] 姜红佳.119例高龄孕妇妊娠并发症与不良妊娠结局的分析[J].实用妇科内分泌电子杂志，2019，6（12）：54-55.
[25] 熊钰，夏和霞，王宜生，等.死胎的高危因素分析[J].中华妇产科杂志，2017，52（12）：811-817.
[26] Vaswani PR，Sabharwal S. Trends in the Occurrence of Antenatal and Perinatal Complications with Increasing Parity [J]. J Obst Gynecol India，2013，63（4）：260-267.