【摘要】 目的:分析二孩政策后高危妊娠危险因素变化情况。方法:随机抽取2015年1月1日至2017年5月30日在南方医科大学附属东莞人民医院建档接受产检和分娩的孕产妇80例,其中以2015年1月1日至2015年12月31日建档的32例孕产妇设置为二孩政策前组,以2016年1月1日至2017年5月30日建档的48例孕产妇设置为二孩政策后组,回顾性分析二孩政策前组和二孩政策后组孕产妇的临床病例资料,对比两组间高龄(妊娠年龄≥35岁)、瘢痕子宫、二胎、经产、2次及以上流产、甲状腺功能异常、妊娠期糖尿病、妊娠期高血压、胎盘因素、巨大儿等高危妊娠危险因素的差异。结果:两组间2次及以上流产、甲状腺功能异常、妊娠期糖尿病、妊娠期高血压、胎盘因素、巨大儿等高危妊娠危险因素比较,差异均无统计学意义(P> 0.05);二孩政策后组孕产妇中高龄、瘢痕子宫的发生率较二孩政策前组孕产妇明显升高(P <0.05)。结论:在全面二孩政策的影响下,高龄、瘢痕子宫的发生率明显增加,临床上应加强孕产妇的监测和分析,强化健康教育与健康管理措施,确保母婴安全。更多还原

【Abstract】 Objective To analyze the risk factors of high-risk pregnancy in our hospital after the two-child policy. MethodsFrom January 1, 2015 to May 30, 2017, 80 pregnant and lying-in women were randomly selected for birth examination and delivery at the Dongguan people’s hospital affiliated to Southern Medical University. Among these, 32 cases documented from 1 January 2015 to 31 December 2015 were set up as the pre-policy group, and 48 cases from January 1, 2016 to May 30, 2017, were set up as the two-child policy group. The clinical data of pregnant and lying-in women before and after the second child policy were analyzed retrospectively. The differences of risk factors for high-risk pregnancy of advanced age(gestational age ≥ 35 years), scar uterus, second child, delivery, 2 or more miscarriage, abnormal thyroid function, gestational diabetes mellitus, pregnancy-induced hypertension, placental factors and macrosomia were compared between the two groups. Results There was no significant difference between the two groups in high risk pregnancy risk factors such as 2 or more miscarriage, thyroid dysfunction, gestational diabetes mellitus, pregnancy-induced hypertension, placental factors and macrosomia(P > 0.05). The incidence of advanced age and scar uterus in the two-child policy group was significantly higher than that in the pre-policy group(P < 0.05). Conclusions Under the influence of the comprehensive two-child policy, there is a significant increase in the incidence of the advanced age and scarred uterus. We should strengthen the monitoring and analysis of pregnant and lying-in women, strengthen health education and health management measures in order to ensure the safety of mother and child.更多还原