孕期健康支出对早产相关因素的影响
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摘要
目的探讨早产儿母亲孕期健康支出对早产相关因素的影响。方法采用现场调查的方法,应用早产儿母亲孕期健康支出调查问卷对满足纳入排除标准的早产儿母亲进行调查,发放700份调查问卷,回收有效问卷656份。早产儿母亲平均孕期健康支出(2234.24±693.18)元,将平均孕期健康支出≥2234.24元的记为A组,平均孕期健康支出<2234.24元的记为B组,比较两组早产儿母亲早产相关因素的发生率,探讨早产相关因素的影响因素。结果 A组的早产儿母亲阴道出血、子痫前期和胎膜早破的发生率均低于B组(P<0.05),年龄、文化程度、孕期健康支出、流产史、是否定期产检影响早产相关因素的发生(P<0.05)。结论孕期健康支出影响早产相关因素的发生,应增加孕期各项健康支出来减少早产相关因素的发生率,促进母婴健康。
Objective To explore the effect of the maternal health expenditure during pregnancy on related factors of premature delivery.Methods Mothers of premature infants satisfied with criterion were selected and investigated with the Maternal Health Expenditure During Pregnancy Questionnaire by means of filed survey,700 questionnaires were issued,and 656 valid questionnaires were retrieved.The average health expenditure of premature mother during pregnancy was(2234.24±693.18).Mark the average health expenditure during pregnancy was greater than or equal to 2234.24 as group A and less than 2234.24 as group B.To compare the incidence of preterm premature births in two groups and explore the factors of affecting preterm birth.Results The average health expenditure of premature infant's mother during pregnancy was(2234.24±693.18).The premature infant's mother of Group A had a lower incidence in vaginal bleeding,preeclampsia and rupture of membranes than the group B(P <0.05),Age,educational level,health expenditure,abortion history and regular or irregular prenatal examination affected the incidence rate of premature delivery(P<0.05).Conclusion The family health expenditure during pregnancy affects the incidence rate of the related factors of premature delivery.We can reduce the incidence of preterm birth related factors by increasing the proportion of health expenditure during pregnancy,and promote the maternal and infantile health.
Objective To explore the effect of the maternal health expenditure during pregnancy on related factors of premature delivery.Methods Mothers of premature infants satisfied with criterion were selected and investigated with the Maternal Health Expenditure During Pregnancy Questionnaire by means of filed survey,700 questionnaires were issued,and 656 valid questionnaires were retrieved.The average health expenditure of premature mother during pregnancy was(2234.24±693.18).Mark the average health expenditure during pregnancy was greater than or equal to 2234.24 as group A and less than 2234.24 as group B.To compare the incidence of preterm premature births in two groups and explore the factors of affecting preterm birth.Results The average health expenditure of premature infant's mother during pregnancy was(2234.24±693.18).The premature infant's mother of Group A had a lower incidence in vaginal bleeding,preeclampsia and rupture of membranes than the group B(P <0.05),Age,educational level,health expenditure,abortion history and regular or irregular prenatal examination affected the incidence rate of premature delivery(P<0.05).Conclusion The family health expenditure during pregnancy affects the incidence rate of the related factors of premature delivery.We can reduce the incidence of preterm birth related factors by increasing the proportion of health expenditure during pregnancy,and promote the maternal and infantile health.
引文
[1]Stacy B,Wojdyla D,Lale S,et al.the worldwide incidence of preterm birth:a systematic review of maternality and morbidity[J].Bull World health Organ,2010,88(1):31-38.
[2]Mangham LJ,Petrou S,Doyle LW,et al.The cost of preterm birth throughout childhood in england and wales[J].Pediatrics 2009,123(2):312-327.
[3]李瑜,王光花,曹志娟,等.妊娠高血压及子痫前期对妊娠及新生儿结局的影响研究[J].中国儿童保健杂志,2016,24(5):457-460.
[4]李超华,方丽丽.妊娠高血压疾病的发病因素与母婴不良结局的关系[J].安徽医学,2016,37(1):31-34.
[5]罗健英,卢红艳,高鹰.198例早产胎膜早破的临床分析[J].中国妇幼保健,2016,31(11):2335-2338.
[6]张玉美,王守滨.浅谈母婴健康投入[J].中国卫生经济,1997,15(4):49.
[7]谢健.健康投资对我国居民健康状况的影响一基于CHNS数据的实证分析[D].重庆:西南财经大学,2014.
[8]谢妙文.定期产检对高危妊娠筛查的临床价值分析[J].临床合理用药,2017,10(11):155-156.
[9]符永娟.定期进行产检对降低孕妇母婴并发症发生率的临床价值[J].当代医药论丛,2016,14(14):133.
[10]周欣,殷茵,张国英,等.2008-2012年1466例早产回顾性临床分析[J].国际妇产科学杂志,2014,41(4):434-437.
[11]胡俊,李玉平,朱欢迎.孕产妇孕前、孕期保健情况及影响因素分析[J].中国妇幼保健,2014,29(22):3544-3546.
[12]姜莹,葛璐,车浩流,等.孕期心理健康状况调查及相关因素分析[J].中国全科医学,2016,19(21):2528-2534.
[13]丁晓莉,莫朝霞,万春花.161例孕妇情绪状态及心理保健需求分析[J].中国妇幼卫生杂志,2016,7(3):76-77.
[14]Sscazufca M,Faisal A,Mogadouro M,et al.Management of depression during pregnancy in primary care in Brazil:a cluster ransomised trial[J].Lancet,2014,384:21.
[15]刘淑姿,季红秀,路娜,等.产前针对性心理干预对分娩方式及妊娠结局的影响[J].临床合理用药,2016,9(1):134-136.
[16]王飞,阚海东,顾海雁,等.上海市徐汇区2006-2012年新生儿早产的危险因素分析[J].中国儿童保健杂志,2017,25(2):170-173.
[17]王文第,王剑,张春花,等.母亲既往生育史对早产儿发生的影响[J].中国妇幼保健,2017,32(4):763-767.
[2]Mangham LJ,Petrou S,Doyle LW,et al.The cost of preterm birth throughout childhood in england and wales[J].Pediatrics 2009,123(2):312-327.
[3]李瑜,王光花,曹志娟,等.妊娠高血压及子痫前期对妊娠及新生儿结局的影响研究[J].中国儿童保健杂志,2016,24(5):457-460.
[4]李超华,方丽丽.妊娠高血压疾病的发病因素与母婴不良结局的关系[J].安徽医学,2016,37(1):31-34.
[5]罗健英,卢红艳,高鹰.198例早产胎膜早破的临床分析[J].中国妇幼保健,2016,31(11):2335-2338.
[6]张玉美,王守滨.浅谈母婴健康投入[J].中国卫生经济,1997,15(4):49.
[7]谢健.健康投资对我国居民健康状况的影响一基于CHNS数据的实证分析[D].重庆:西南财经大学,2014.
[8]谢妙文.定期产检对高危妊娠筛查的临床价值分析[J].临床合理用药,2017,10(11):155-156.
[9]符永娟.定期进行产检对降低孕妇母婴并发症发生率的临床价值[J].当代医药论丛,2016,14(14):133.
[10]周欣,殷茵,张国英,等.2008-2012年1466例早产回顾性临床分析[J].国际妇产科学杂志,2014,41(4):434-437.
[11]胡俊,李玉平,朱欢迎.孕产妇孕前、孕期保健情况及影响因素分析[J].中国妇幼保健,2014,29(22):3544-3546.
[12]姜莹,葛璐,车浩流,等.孕期心理健康状况调查及相关因素分析[J].中国全科医学,2016,19(21):2528-2534.
[13]丁晓莉,莫朝霞,万春花.161例孕妇情绪状态及心理保健需求分析[J].中国妇幼卫生杂志,2016,7(3):76-77.
[14]Sscazufca M,Faisal A,Mogadouro M,et al.Management of depression during pregnancy in primary care in Brazil:a cluster ransomised trial[J].Lancet,2014,384:21.
[15]刘淑姿,季红秀,路娜,等.产前针对性心理干预对分娩方式及妊娠结局的影响[J].临床合理用药,2016,9(1):134-136.
[16]王飞,阚海东,顾海雁,等.上海市徐汇区2006-2012年新生儿早产的危险因素分析[J].中国儿童保健杂志,2017,25(2):170-173.
[17]王文第,王剑,张春花,等.母亲既往生育史对早产儿发生的影响[J].中国妇幼保健,2017,32(4):763-767.
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