首页|2019-2023年无锡市梁溪区高危妊娠孕产妇流行病学特征分析

2019-2023年无锡市梁溪区高危妊娠孕产妇流行病学特征分析

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目的:了解2019-2023年无锡市梁溪区高危妊娠孕产妇的流行病学特征,为规范高危孕产妇管理提供参考的依据.方法:依托江苏省妇幼健康信息系统,收集2019-2023年无锡市梁溪区高危妊娠孕产妇人群特征和妊娠风险信息,分析高危妊娠发生率、妊娠风险等级、人群特征、妊娠风险因素特征的变化趋势.结果:2019-2023年梁溪区高危孕产妇发生率逐年上升,平均为75.428%;妊娠风险以黄色为主,橙色和红色风险比例逐年上升.2021年起高龄、剖宫产的高危孕产妇增多趋势发生逆转,2023年才明显回升;低龄高危孕产妇比例自2020年起一直保持在低位.5年来13周内初次产检、产检次数超过10次以上的高危孕产妇占比逐年提升;妊娠风险因素前10种类变化不大,2023年前三顺位为体质量指数异常、贫血、糖尿病.结论:2019-2023年梁溪区高危妊娠孕产妇的发生率逐年升高,妊娠风险等级倾向于复杂化,人群年龄和分娩方式特征、主要妊娠风险因素特征均发生变化,高危孕产妇的健康管理逐渐规范.梁溪区应依据现状调整高危妊娠管理方向,针对难点、弱点采取对应的干预措施.
Epidemiological characteristics of high-risk pregnant women in Liangxi district,Wuxi city from 2019 to 2023
Objective:To analyze the epidemiological characteristics of high-risk pregnant women in Liangxi Dis-trict of Wuxi City from 2019 to 2023,so as to provide a reference for regulating the management of high-risk preg-nant women.Methods:Based on the maternal and Child Health Information System of Jiangsu province,the char-acteristics and pregnancy risk information of high-risk pregnant women in Liangxi district of Wuxi city from 2019 to 2023 were collected to analyze the trends of high-risk pregnancy incidence,pregnancy risk grade,population char-acteristics and pregnancy risk factor characteristics.Results:From 2019 to 2023,the incidence of high-risk preg-nant women in Liangxi District increased year by year,with an average of 75.428%.The pregnancy risk was main-ly yellow,and the proportion of orange and red risk increased year by year.The upward trends of elderly high-risk pregnant women(≥35)and gave birth by cesarean section had reversed since 2021,and picked up significantly in 2023;the proportion of young high-risk pregnant women(≤18 years old)remained low.In the past five years,the proportion of high-risk pregnant women who completed the initial antenatal examination within 13 weeks or more than 10 antenatal examinations increased year by year;the top 10 types of pregnancy risk factors had changed a lit-tle,and the top three in 2023 were abnormal body mass index,anemia,and diabetes.Conclusion:From 2019 to 2023,the incidence of high-risk pregnant women in Liangxi District increased year by year,and the pregnancy risk grade tended to be complicated;the characteristics of age,delivery mode and major pregnancy risk factors were changed.The health management of high-risk pregnant women was gradually standardized;Liangxi district should adjust the direction of high-risk pregnancy management according to the current situation,and take corresponding intervention measures according to the difficulties and weaknesses.

high-risk pregnancythe incidence ratepopulation characteristicspregnancy risk factorscis-position

曹丽丽

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无锡市梁溪区妇幼保健计划生育服务中心,江苏无锡 214000

高危妊娠 发生率 人群特征 妊娠风险因素 顺位

2024

东南大学学报(医学版)
东南大学

东南大学学报(医学版)

CSTPCD
影响因子:1.374
ISSN:1671-6264
年,卷(期):2024.43(4)