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采用体检与问卷相结合的方式,对425名妇女从婚姻期到围生期进行追踪调查,用 STATA 3.1软件分析处理,筛查危险因素,以探讨低体重儿的危险因素及巨大儿状况。结果表明:影响低体重儿的危险因素为双胎、孕期营养不良;婚姻家庭支持程度差(丈夫外出家人关心少)、家庭协调差(男方亲属干预家庭经济)及家庭暴力(丈夫殴打妻子);家庭经济计划差及人均收入低、业余爱好跳舞、逛商店、个人有不良嗜好(打麻将)均可促进低体重儿的发生。巨大儿易引起相对头盆不称、宫缩乏力、分娩困难及母儿双方的损伤,可因颅内出血引起后遗症及围生期死亡率增高。结果提示:为降低低体重儿的发生率,孕期应进行生理、心理、婚姻家庭及社会因素全方位保健。胎儿体重不是愈大愈好,对巨大儿应适当进行干预,控制孕妇体重在适当范围内才对胎儿有利。
Using a combination of physical examination and questionnaire, 425 women from the marriage to the perinatal follow-up survey, STATA 3.1 software analysis and treatment, screening of risk factors to explore the risk factors for low birth weight children and macrosomia . The results showed that the risk factors of low birth weight infants were twins, malnutrition during pregnancy, poor support for marriage and family (less concern for husbands and relatives), poor family coordination (family intervention by male relatives) and domestic violence (husband beat wife) Poor family planning and low per capita income, hobbies and dancing, shopping, personal bad hobby (playing mahjong) can promote the occurrence of low birth weight children. Huge children can cause relative head basin is not known, uterine inertia, childbirth difficulties and both mother and child injury, may be due to intracranial hemorrhage caused by sequelae and increased perinatal mortality. The results suggest that: in order to reduce the incidence of low birth weight infants, pregnancy should be physical, psychological, marriage and family and social factors in all directions health care. Fetal weight is not the bigger the better, the giant should be properly intervened to control the weight of pregnant women in the proper range only beneficial to the fetus.