2015—2019年温州市青春期妊娠人群特征分析

doi:10.19485/j.cnki.issn2096-5087.2021.05.002

预防医学

2021, Vol. 33

Issue (5): 438-441,445 DOI: 10.19485/j.cnki.issn2096-5087.2021.05.002

论著

本期目录 | 过刊浏览 | 高级检索

2015—2019年温州市青春期妊娠人群特征分析

叶傲霜¹, 林颖¹, 包佳佳¹, 何静¹, 杨新军²

1.温州市健康妇幼指导中心妇女保健科,浙江温州 325000;
2.温州医科大学公共卫生与管理学院预防医学系

The characteristics of adolescent pregnancy in Wenzhou from 2015 to 2019

YE Aoshuang^*, LIN Ying, BAO Jiajia, HE Jing, YANG Xinjun

^*Department of Health Care, Wenzhou Healthy Maternal and Child Guidance Center, Wenzhou, Zhejiang 325000, China

摘要
参考文献
相关文章
Metrics

全文: PDF(848 KB)
输出: BibTeX | EndNote (RIS)

摘要目的分析2015—2019年温州市青春期妊娠人群特征,为保护青春期女性身心健康提供依据。方法通过温州市妇幼保健信息管理平台收集2015—2019年在温州市分娩的≤19岁产妇和20~<35岁适龄产妇的基本信息、妊娠和分娩结局资料,分析青春期妊娠人群妊娠并发症、妊娠合并症和不良出生结局的发生情况,并与适龄妊娠人群比较。结果 2015—2019年温州市共报告分娩产妇536 753人,其中青春期妊娠22 419人,占4.18%;适龄妊娠430 163人,占80.14%。青春期妊娠人群年龄为10~19岁,平均（18.11±0.82）岁。初中及以下文化程度18 594人,占82.94%;无职业19 192人,占85.61%;流动人口19 437人,占86.70%。2015—2019年青春期妊娠人群妊娠贫血、妊娠糖尿病、产后出血、会阴撕裂和早产发生率均呈上升趋势（P<0.05）。青春期妊娠人群妊娠贫血、妊娠高血压、胎盘早剥、产后出血、会阴撕裂、早产、低出生体重、死胎和死产发生率分别为11.76%、0.19%、0.26%、3.19%、24.52%、6.03%、5.53%、0.50%和0.04%,均高于适龄妊娠人群的8.94%、0.13%、0.01%、0.17%、23.46%、4.66%、3.08%、0.26%和0.01%（P<0.05）;青春期妊娠人群妊娠糖尿病发生率为1.65%,低于适龄妊娠人群的5.49%（P<0.05）。结论温州市青春期妊娠人群以低文化程度、流动人口、无职业为主;妊娠合并症、妊娠并发症和早产等不良出生结局发生率高于适龄妊娠人群,且呈上升趋势。

	服务

	把本文推荐给朋友
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	叶傲霜
	林颖
	包佳佳
	何静
	杨新军

关键词 ：青春期妊娠, 妊娠合并症, 妊娠并发症, 不良出生结局

Abstract：Objective To learn the characteristics of adolescent pregnancy in Wenzhou from 2015 to 2019, so as to provide basis for protecting adolescent physical and mental health. Methods Data of demographic characteristics, pregnancy and delivery outcomes of the women aged under 19 years ( adolescent pregnant ) and 20 to 34 years ( right-age pregnant ) who delivered in Wenzhou from 2015 to 2019 were collected from Wenzhou Maternal and Child Health Information Management System. The incidence of pregnancy complication, comorbidity and adverse delivery outcomes of adolescent pregnant women was compared with that of right-age pregnant women. Results Among 536 753 parturients reported in Wenzhou from 2015 to 2019, there were 22 419 ( 4.18% ) of adolescent pregnancy and 430 163 ( 80.14% ) of right-age pregnancy. The average age of adolescent pregnant women was (18.11±0.82) years ( range, 10-19 years ). The majority of adolescent pregnant women were migrant population (19 437 cases, 86.70%), had an education level of junior high school and below ( 18 594 cases, 82.94% ), and had no occupation (19 192 cases, 85.61%). The incidence rates of anemia, gestational diabetes, postpartum hemorrhage, perineal laceration and premature delivery in adolescent pregnant women increased from 2015 to 2019 ( all P<0.05 ). The incidence rates of gestational diabetes, anemia, gestational hypertension, placental abruption, postpartum hemorrhage, perineal laceration, premature delivery, low birth weight, fetal death and stillbirth were 1.65%, 11.76%, 0.19%, 0.26%, 3.19%, 24.52%, 6.03%, 5.53%, 0.50% and 0.04% in adolescent pregnant women, which were significant different from 5.49%, 8.94%, 0.13%, 0.01%, 0.17%, 23.46%, 4.66%, 3.08%, 0.26% and 0.01% in the right-age pregnant women, respectively ( all P<0.05 ). Conclusions The adolescent pregnant population in Wenzhou are mainly migrant population with lower education level and no occupation. The incidence rates of pregnancy complication, comorbidity and adverse birth outcomes in adolescent pregnant population are higher than those in right-age pregnant population, and are increasing year by year.

Key words： adolescent pregnancy pregnancy comorbidity pregnancy complication adverse birth outcome

收稿日期: 2020-11-13 修回日期: 2021-02-02 出版日期: 2021-05-10

中图分类号:

R195

通信作者: 杨新军,E-mail：xjyang@wmu.edu.cn

作者简介: 叶傲霜,大专,副主任医师,主要从事妇女保健工作

引用本文:

叶傲霜, 林颖, 包佳佳, 何静, 杨新军. 2015—2019年温州市青春期妊娠人群特征分析[J]. 预防医学, 2021, 33(5): 438-441,445.
YE Aoshuang, LIN Ying, BAO Jiajia, HE Jing, YANG Xinjun. The characteristics of adolescent pregnancy in Wenzhou from 2015 to 2019. Preventive Medicine, 2021, 33(5): 438-441,445.

链接本文:

http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2021.05.002 或 http://www.zjyfyxzz.com/CN/Y2021/V33/I5/438

[1] 熊庆,王临虹. 妇女保健学[M]. 2版. 北京:人民卫生出版社,2014:54-55.
[2] 雷园婷,吕若然,段佳丽,等. 北京市城区高中生艾滋病知识态度及性行为趋势分析[J]. 中国公共卫生,2018,34(12):1581-1586.
[3] 孔庆滨,王云,张晓璐,等. 大学生对艾滋病认知及性行为调查[J]. 中国公共卫生,2016,32(9):1252-1254.
[4] World Health Organization.Fact sheet No.364:adolescent pregnancy[R]. Geneva:World Health Organization,2014.
[5] 李春燕,唐昆. 青少年性与生殖健康促进措施[J]. 中国计划生育学杂志,2016,24(9):580-583.
[6] KINGSTON D,HEAMAN M,FELL D,et al.Comparison of adolescent,young adult,and adult women's maternity experiences and practices[J]. Pediatrics,2012,12(5):e1228-e1237.
[7] GANCHIMEG T,OTA E,MORISAKI N,et al.Pregnancy and childbirth outcomes among adolescent mothers:a World Health Organization multicountry study[J]. BJOG,2014,121(Suppl.1):40-48.
[8] TORVIE A J,CALLEGARI L S,SCHIFF M A,et al. Labor and delivery outcomes among young adolescents[J]. Am J Obstel Gynecol,2015,213(1):95.e1-95.e8.
[9] 谢幸,苟文丽. 妇产科学[M]. 8版. 北京:人民卫生出版社,2013.
[10] 王昊珏,陆显义. 289例青春期妊娠初产妇产科结局分析[J]. 中国计划生育和妇产科,2015,7(9):38-41.
[11] 徐阳,杨贵霞. 青少年意外妊娠相关因素研究进展[J]. 世界最新医学信息文摘,2019,19(63):158-159.
[12] 杨越,李思思,贾璐,等. 青春期与成年妊娠围产期结局比较[J]. 中国公共卫生,2019,35(9):1166-1169.
[13] KAWAKITA T,WILSON K,GRANTZ K L,et al.Adverse maternal and neonatal outcomes in adolescent pregnancy[J]. J Pediatr Adolesc Gynecol,2015,29(2):130-136.
[14] BAXTER C,MOODLEY D.Improving adolescent matemal health[J]. S Afr Med J,2015,105(11):948-952.
[15] 蔡惠芬,刘小燕,王江,等. 232例青少年初产的围产结局分析[J]. 第三军医大学学报,2017,39(15):1574-1577.
[16] KUO C P,LEE S H,WU W Y,et al.Birth outcomes and risk factors in adolescent pregnancies: results of a Taiwanese national survey[J]. Pediatr Int,2010,52(3):447-452.
[17] MODOU G,DJIBRIL B,AMADOU S,et al.Neonatal complications of teenage pregnancies:retrospective study about 209 cases in Senegal[J]. AJP,2020,6(4):504-507.
[18] 徐艳,陈寒,王晶. 316例青春期妊娠产科结局分析[J]. 中国生育健康杂志,2014,25(3):210-212.
[19] 任艳军,刘庆敏,刘冰,等. 2009—2018年杭州市妊娠糖尿病发病趋势[J]. 预防医学,2020,32(3):244-247.
[20] 韩娜,刘珏,金楚瑶,等. 2013—2017年北京市通州区34 637例孕妇妊娠期糖尿病流行情况及其影响因素研究[J]. 中华疾病控制杂志,2019,23(2):156-161.
[21] 何晓英,尤敏,许泓. 少女妊娠与避孕[J]. 中国计划生育和妇产科,2019,11(11):14-16.

[1]	姜李媛, 陈晓雯, 朱旭红. 2015—2020年杭州市危重孕产妇监测结果[J]. 预防医学, 2022, 34(6): 637-640.
[2]	钱丹丹, 马林. 未足月胎膜早破的影响因素分析[J]. 预防医学, 2020, 32(11): 1161-1163.
[3]	张玥, 殷玉华, 张卫华, 金颖. 妊娠早期合并甲状腺功能减退早期治疗效果分析[J]. 预防医学, 2018, 30(1): 100-101.

Viewed

Full text

Abstract

Cited

Shared

Discussed