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目的分析探讨围生期保健对优生优育的影响,以指导提升围生期保健效果。方法进行围生期保健与住院生产的2000例孕产妇与产后新生儿作为研究对象,分析总结优生优育的相关因素。结果各年龄段产妇新生儿缺陷发生率比较,差异有统计学意义(P<0.05),30岁以上产妇新生儿缺陷发生率明显高于其它年龄段产妇。农村产妇新生儿缺陷发生率明显高于城市产妇,组间比较差异有统计学意义(P<0.05)。产妇不同孕次与孕周于新生儿缺陷发生情况方面比较差异无统计学意义(P<0.05)。孕前3个月用药发生新生儿缺陷的几率明显高于孕后3个月用药产妇,差异有统计学意义(P<0.05)。产前3次及以上产检的产妇新生儿缺陷发生率明显低于低频率产检产妇,差异有统计学意义(P<0.05);不同分娩方式对新生儿缺陷发生情况无显著影响。结论加强围生保健与孕前产检,重视高危产妇排查与干预,并结合健康知识宣传、医务人员技术培训,有助于降低新生儿缺陷发生率,推进人口素质提升。
Objective To analyze the influence of perinatal health care on prenatal and postnatal care to guide the improvement of perinatal health care. Methods A total of 2000 pregnant women and postnatal newborn babies during the perinatal period were selected as health care and hospitalized patients. The related factors of prenatal and postnatal care were analyzed and summarized. Results The incidence of neonatal defects in all age groups was significantly different (P <0.05). The incidence of neonatal defects in women over 30 years old was significantly higher than that of other age groups. The incidence of neonatal defects in rural males was significantly higher than that in urban males, with significant difference between the two groups (P <0.05). Maternal different gestational age and gestational age in the incidence of neonatal defects was no significant difference (P <0.05). The incidence of neonatal defects in the first 3 months of pregnancy was significantly higher than that of the third month after giving birth, the difference was statistically significant (P <0.05). The incidence of neonatal birth defects was significantly lower than that of low frequency antenatal clinics in the three or more antenatal examinations, the difference was statistically significant (P <0.05). Different modes of delivery had no significant effect on neonatal defects. Conclusions We should strengthen perinatal care and prenatal check-ups and pay attention to the investigation and intervention of high-risk maternal diseases. Combining with the promotion of health knowledge and the technical training of medical staff, it helps to reduce the incidence of neonatal defects and promote the improvement of population quality.