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【目的】通过出生监测分析,了解上海市卢湾区人口的生育水平及发展趋势,为本地区的人口发展决策提供科学依据。【方法】利用上海市卢湾区疾病预防控制中心出生监测系统所获得的2004-2010年户籍活产婴儿的出生资料,利用SPSS统计软件计算其粗出生率、总生育率、总和生育率、出生性别比、剖宫产率、标化月份出生指数等相关出生指标进行分析。【结果】2004-2010年上海市卢湾区粗出生率为4.00‰～6.26‰,出生人口男女性别比98.50～116.48;生育旺盛期出现在25～34岁年龄组妇女,孕产妇平均年龄在28～29岁之间;活产婴儿的出生体重随着孕周的增加而增长;六年间,9～11月为出生高峰;剖宫产率为63.35%～70.81%,处于较高水平。【结论】本地区正处于近年来的出生高峰期,应采取有效的行为干预措施进一步促进全区孕妇和新生儿的健康状况;剖宫产率较高以及高龄孕产妇现象应引起社会关注。
【Objective】 To understand the fertility level and development trend of population in Luwan District of Shanghai through birth monitoring and analysis, and provide a scientific basis for population development decision-making in this area. 【Method】 Based on the birth data of live births from 2004 to 2010 in Shanghai Luwan District Center for Disease Control and Prevention, SPSS statistical software was used to calculate the crude birth rate, total fertility rate, total fertility rate, sex ratio at birth , Cesarean section rate, standardized birth month index and other related indicators of birth. 【Results】 The crude birth rate was 4.00 ‰ ~ 6.26 ‰ in Luwan District in Shanghai from 2004 to 2010. The male-female sex ratio at birth was 98.50 ~ 116.48. The fertility peak appeared in the women aged 25 ~ 34, and the average age of pregnant women was 28 ~ 29 The birth weight of live-born babies increased with the increase of gestational age. The peak of their birth was from September to November in six years. The cesarean section rate was 63.35% -70.81%, which was at a high level. 【Conclusion】 The region is at the peak of birth in recent years. Effective behavioral interventions should be taken to further promote the health status of pregnant women and newborns in the whole district. The higher incidence of cesarean section and the phenomenon of older pregnant women should pay more attention to the society.