震后再生育夫妇自然流产的相关因素调查及分析
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摘要
目的调查分析有家庭成员在汶川地震中伤亡的再生育夫妇自然流产的相关危险因素。方法通过回顾性问卷调查方式,2008年9月2011年3月收集整理44对震后有自然流产的再生育夫妇基本资料和自然流产相关危险因素,分析该类人群震后自然流产危险因素特点。结果自然流产发生率占总妊娠比例的22.9%,11.1%的女性出现了震后月经改变,有人流史妇女与无人流史妇女震后月经改变率比较,差异无统计学意义(χ2=0.58,P>0.05)。结论震后女性易发生月经改变,地震后再生育夫妇的自然流产发生率显著高于正常人群中的自然流产发生率,环境、高龄等因素可能是该人群自然流产高发的主要危险因素。
Objective To explore the risk factors of spontaneous abortion related in reproduction-needed couples after the earthquake.Methods Between September 2008 and March 2011,44 pairs of reproduction-needed couples were investigated by retrospective questionnaire.The risk factors of spontaneous abortion were analyzed.Results The spontaneous abortion rate was 22.9%;11.1% females had the menstruation changes.The difference in the rate of the menstruation changes between the females had spontaneous abortion history and the ones didn′t had the history was not significant(χ2=0.58,P>0.05).Conclusions The females after the earthquake may have menstruation changes;the spontaneous abortion rate in reproduction-needed couples after the earthquake is obviously higher than that in the normal couples.The risk factors may include the environment and the age.
Objective To explore the risk factors of spontaneous abortion related in reproduction-needed couples after the earthquake.Methods Between September 2008 and March 2011,44 pairs of reproduction-needed couples were investigated by retrospective questionnaire.The risk factors of spontaneous abortion were analyzed.Results The spontaneous abortion rate was 22.9%;11.1% females had the menstruation changes.The difference in the rate of the menstruation changes between the females had spontaneous abortion history and the ones didn′t had the history was not significant(χ2=0.58,P>0.05).Conclusions The females after the earthquake may have menstruation changes;the spontaneous abortion rate in reproduction-needed couples after the earthquake is obviously higher than that in the normal couples.The risk factors may include the environment and the age.
引文
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[6]Cramer DW,Wise LA.The epidemiology of recurrentpregnancy loss[J].Semin Reprod Med,2000,18(4):331-339.
[7]Arck P.Stress and embryo implantation[J].J Gynecol ObstetBiol Reprod(Paris),2004,33(1Pt 2):40-42.
[8]Andalib A,Rezaie A,Oreizy F,et al.A study on stress,depression and NK cytotoxic potential in women with recurrentspontaneous abortion[J].Iran J Allergy Asthma Immunolm,2006,5(1):9-16.
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[10]Brier N.Anxiety after miscarriage:a review of the empiricalliterature and implications for clinical practice[J].Birth,2004,31(2):138-142.
[11]Zorn B,Auger J,Velikonja V,et al.Psychological factors inmale partners of infertile couples:relationship with semenquality and early miscarriage[J].Intern J Androl,2008,31(6):557-564.
[12]Rasch V.Cigarette,alcohol,and caffeine consumption:riskfactors for spontaneous abortion[J].Acta Obstet GynecolScand,2003,82(2):182-188.
[13]Lejeune V.Recurrent spontaneous miscarriage:etiology,andmanagement of subsequent pregnancies[J].J Gynecol ObstetBiol Reprod(Paris),2010,39(Suppl 3):11-16.
[2]International Workshop on the Impact of the Enviornment onReproductiue Health(1991:Copenhagen).Impact of theenvironment on reproductive health[J].Prog Hum Reprod Res,1991(20):1-11.
[3]Fukuda M,Fukuda K,Shimizu T,et al.Decline in sex ratio atbirth after Kobe earthquake[J].Hum Reprod,1998,13(8):2321-2322.
[4]Harville E,Xiong X,Buekens P.Disasters and perinatal health:a systematic review[J].Obstet Gynecol Surv,2010,65(11):713-728.
[5]Liu S,Han J,Xiao D,et al.A report on the reproductive healthof women after the massive 2008Wenchuan earthquake[J].Int JGynaecol Obstet,2010,108(2):161-164.
[6]Cramer DW,Wise LA.The epidemiology of recurrentpregnancy loss[J].Semin Reprod Med,2000,18(4):331-339.
[7]Arck P.Stress and embryo implantation[J].J Gynecol ObstetBiol Reprod(Paris),2004,33(1Pt 2):40-42.
[8]Andalib A,Rezaie A,Oreizy F,et al.A study on stress,depression and NK cytotoxic potential in women with recurrentspontaneous abortion[J].Iran J Allergy Asthma Immunolm,2006,5(1):9-16.
[9]Rai R,Regan L.Recurrent miscarriage[J].Lancet,2006,368(9535):601-611.
[10]Brier N.Anxiety after miscarriage:a review of the empiricalliterature and implications for clinical practice[J].Birth,2004,31(2):138-142.
[11]Zorn B,Auger J,Velikonja V,et al.Psychological factors inmale partners of infertile couples:relationship with semenquality and early miscarriage[J].Intern J Androl,2008,31(6):557-564.
[12]Rasch V.Cigarette,alcohol,and caffeine consumption:riskfactors for spontaneous abortion[J].Acta Obstet GynecolScand,2003,82(2):182-188.
[13]Lejeune V.Recurrent spontaneous miscarriage:etiology,andmanagement of subsequent pregnancies[J].J Gynecol ObstetBiol Reprod(Paris),2010,39(Suppl 3):11-16.
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