2014年靖江市孕产妇孕产期健康状况分析

吴惠平，徐勇，薛艳春.苏州大学医学部公共卫生学院，江苏苏州　53；.靖江市人民医院，江苏靖江　4500

2014年靖江市孕产妇孕产期健康状况分析

吴惠平1，2，徐勇1，薛艳春2
1.苏州大学医学部公共卫生学院，江苏苏州215123；2.靖江市人民医院，江苏靖江214500

目的 通过对产妇的孕前检查、分娩期情况进行分析，了解靖江市孕产妇孕产期的健康现状，找出合适的分娩方式，确保母婴健康。方法依托靖江市妇幼保健综合管理平台系统，从靖江的孕妇首次建卡、孕妇复查、孕妇的分娩方式、合并症和并发症、妊娠结局等情况分析。以2014年1月1日—2014年12月30日期间分娩的2844例孕产妇为研究对象，对孕产妇的健康状况进行回顾性分析。结果妊娠合并内科疾病621例，占21.84%。妊娠合并症和并发症1440例，占50.63%。其中:妊娠合并贫血385例，占13.54%；子痫前期94例，占3.31%；糖尿病71例，占2.5%；甲状腺疾病3例，占0.11%；慢性肝炎62例，占2.18%；妊娠合并梅毒4例，占0.14%；妊娠合并精神疾病2例，占0.07%。2014年靖江市产妇死亡率为零。结论妊娠合并内科疾病621例，占妊娠合并症和并发症的43.13%。加强孕产期系统保健，孕前宣教，严格把握剖宫产指征、加强自然分娩的优势宣传，是保证孕产妇身心健康的有力措施。

孕产妇；孕产期；健康状况；现状分析

［Abstract］Objective To know the health status of pregnant women in pregnancy in Jingjiang，find out the suitable labor methods and ensure maternal and infant health by the pre-pregnancy examination and analysis of situations in pregnancy of the pregnant women.Methods The papers analyzed the first card creation，reexamination，labor way of pregnant women，complications and pregnant outcomes based on the comprehensive management platform system of maternal and child health care in Jingjiang，2844 cases of pregnant women giving birth from January 1，2014 to December 30，2014 were selected as the research objects，and the health status of the pregnant women was retrospectively analyzed.Results There were 621 cases with pregnancy and medical diseases，accounting for 21.84%，1440 cases with complications of pregnancy，accounting for 50.63%，among them：there were 385 cases with pregnancy and anemia，accounting for 13.54%，94 cases with preeclampsia，accounting for 3.31%，71 cases with diabetes，accounting for 2.5%，3 cases with thyroid disease，accounting for 0.11%，62 cases with chronic hepatitis，accounting for 2.18%，4 cases with pregnancy and syphilis，accounting for 0.14%，and 2 cases with pregnancy and mental diseases，accounting for 0.07%，and the death rate of pregnant women in Jingjiang in 2014 was 0.Conclusion There were 621 cases with pregnancy and medical diseases，accounting for 43.13%in the complications of pregnancy，enhancing systematic health care in pregnancy and pre-pregnancy education，strictly grasping indications of cesarean section，enhancing propaganda of natural labor advantages are the strong measures of ensuring the mental and physical health of pregnant women.

［Key words］Pregnant women；Pregnant and due date；Health status；Status analysis

为了促进孕产妇保健系统的良性发展，通过对靖江市2844例孕产妇的健康状况进行分析，了解其合并的疾病分布情况，有针对性地进行相关疾病知识、孕产期保健知识、分娩方式选择等的宣传教育，保证其身心健康，顺利度过孕产期，现报道如下。……