摘要
目的了解姑苏区低出生体重发生率,探究其危险因素,为控制低出生体重流行水平提出保健管理措施。方法选取2017—2018年苏州市出生且出生后居住在姑苏区的16176名活产儿为研究对象,收集数据包括产妇年龄、孕周、孕次、产次、胎数、分娩方式及新生儿的性别和出生体重,应用SPSS软件进行χ^2检验和多因素Logistic回归分析,对低出生体重流行的危险因素进行回顾性统计分析。结果2017—2018年姑苏区低出生体重发生率为3.54%,产妇年龄≥35岁、孕周<37周、双胎以上、剖宫产、女婴,是低出生体重发生的危险因素(P<0.05)。结论低出生体重儿的发生与多种因素有关,在孕期应开展孕产妇妊娠风险筛查和评估,识别高危产妇并进行有针对性的宣教,加强对高龄、多胎孕妇的孕期管理和随访,建立预防和控制早产、剖宫产等高危因素的综合干预措施,降低低出生体重发生率,提高儿童健康水平。
Objective To understand the incidence of low birth weight in Gusu district,explore the risk factors,control the prevalence of low birth weight and establish effective strategies and measures to reduce the incidence of low birth weight.Methods A total of 16176 live births born in Suzhou and living in Gusu district from 2017 to 2018 were selected as the study subjects.Data on puerperal age,gestation week,number of pregnancies,number of births,multiple births or not,mode of delivery and newborns’sex and birth weight were collected for statistical analysis.SPSS was used forχ^2 test and logistic regression analysis to carry out retrospective statistical analysis on risk factors of low birth weight epidemic.Results From 2017 to 2018,the incidence of low birth weight in Gusu district was 3.54%.The differences were statistically significant with the maternal age≥35 years old,gestational age<37 weeks,twins and above,cesarean section,and female infants(P<0.05).They were risk factors for the occurrence of low birth weight.Conclusion The occurrence of low birth weight infants is related to a variety of factors.Screening and assessment of pregnancy risk should be carried out during pregnancy care.High-risk pregnant women should be identified and accept targeted education.We should strengthen the management the pregnant women over 35 years of age,first pregnancy and with multiple twins to prevent and control high-risk factors such as premature birth and cesarean section to reduce the incidence of low birth weight.
作者
叶茜
顾霞婷
YE Qian;GU Xia-ting(Gusu District Women and Children Health Care Institution,Suzhou,Jiangsu 215007,China)
出处
《中国公共卫生管理》
2020年第3期385-387,共3页
Chinese Journal of Public Health Management
