高龄GDM孕妇孕期不良生活习惯与妊娠结局之间的关系分析
Analysis of the relationship between poor living habits and pregnancy outcome in elderly women with GDM
杨青 1沈翠丽 2张婷 3潘莉琴 2吴琰 4吴洁5
作者信息
- 1. 上海市松江区妇幼保健院儿童保健科,上海 201620
- 2. 上海市松江区妇幼保健院护理部,上海 201620
- 3. 上海市松江区妇幼保健院妇产科,上海 201620
- 4. 上海市松江区妇幼保健院检验科,上海 201620
- 5. 上海市松江区妇幼保健院产房,上海 201620
- 折叠
摘要
目的 探讨高龄妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇不良生活习惯、环境与妊娠结局之间的关系.方法 采用回顾性调查,选择2022年9月至2023年9月期间在妇幼保健院分娩的高龄GDM孕妇作为研究对象,通过问卷收集资料,采用多因素Logistic回归分析高龄GDM孕妇不良生活习惯对妊娠结局的影响.结果 GDM孕妇共202例,平均年龄(37.5±2.2)岁,年龄≥40岁的孕妇18.3％.其中52例发生61起不良妊娠结局,发生率为25.7％,包括胎膜早破19例、巨大儿14例、剖宫产11例、早产7例、低出生体质量5例、产后出血3例以及新生儿窒息2例.Logistic回归分析显示,年龄≥40岁、睡眠不足是发生不良妊娠结局的危险因素(比值比分别为2.11、2.43).结论 睡眠作为可干预的一种生活方式,应纳入孕产期保健的常规工作,同时对于高龄妊娠应给与充分重视,对于降低高龄GDM孕妇不良妊娠结局具有重要意义.
Abstract
Objective To investigate the relationship between poor living habits,environment and pregnancy outcome in elderly pregnant women with gestational diabetes mellitus(GDM).Method A retrospective study was conducted to select elderly pregnant women with GDM who gave birth in Maternal and Child Health Care Hospital from September 2022 to September 2023 as the study objects.Data were collected through questionnaires and multivariate Logistic regression was used to analyze the influence of adverse lifestyle habits on pregnancy outcomes in elderly pregnant women with GDM.Result There were 202 pregnant women with GDM,with an average age of(37.5±2.2)years and 18.3％age≥ 40 years.Among the 52 cases,61 adverse pregnancy outcomes occurred,the incidence rate was 25.7％,including 19 cases of premature rupture of membranes,14 cases of macrosomia,11 cases of primipara cesarean section,7 cases of premature delivery,5 cases of low birth weight,3 cases of postpartum hemorrhage and 2 cases of neonatal asphyxia.Logistic regression analysis showed that age≥40 years old and insufficient sleep were risk factors for adverse pregnancy outcomes(odds ratio values were 2.11 and 2.43,respectively).Conclusion As an interventionable lifestyle,sleep should be included in the routine work of pregnancy and perinatal health care,and full attention should be paid to elderly pregnancies,which is of great significance for reducing adverse pregnancy outcomes in elderly GDM pregnant women.
关键词
妊娠期糖尿病/高龄孕妇/不良生活习惯/睡眠/妊娠结局Key words
gestational diabetes mellitus/pregnant women of advanced age/unhealthy lifestyle habits/sleep/pregnancy outcomes引用本文复制引用
基金项目
上海市松江区科技攻关计划(22SJKJGG53)
出版年
2024
NETL
NSTL
万方数据