| 王媛媛,冯 毅,王晓格,焦贝蓓,娄 丹.高龄孕妇分娩新生儿出生体重及出院转归的影响因素分析[J].,2023,(9):1761-1765 |
| 高龄孕妇分娩新生儿出生体重及出院转归的影响因素分析 |
| Analysis of Influencing Factors on Birth Weight and Discharge Outcome of Neonates Delivered by Elderly Pregnant Women |
| 投稿时间：2022-09-22 修订日期：2022-10-17 |
| DOI：10.13241/j.cnki.pmb.2023.09.031 |
| 中文关键词: 高龄孕妇 新生儿 出生体重 出院转归 影响因素 |
| 英文关键词: Old pregnant women Neonates Birth weight Discharge outcome Influencing factors |
| 基金项目:河南省医学科技攻关计划联合共建项目（LHGJ20200587） |
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| 中文摘要: |
| 摘要 目的：探讨高龄孕妇分娩新生儿出生体重及出院转归的影响因素。方法：选择2021年01月到2022年01月与我院就诊的198例产妇作为研究对象，根据孕妇分娩时的年龄分为观察组和对照组，分娩时年龄满35周岁为高龄产妇组（98例），分娩时年龄为20~34周岁为适龄组（100例）。比较适龄孕妇和高龄孕妇新生儿出生体重情况和新生儿住院时间，对高龄孕妇新生儿体重和新生儿出院转归影响因素进行Logistic单因素分析和多因素分析。结果：与适龄孕妇相比，高龄孕妇新生儿低出生体重儿、巨大儿发生率更高（P<0.05），新生儿住院时间明显更长（P<0.05）。对高龄孕妇新生儿体重进行单因素分析结果显示，妊娠糖尿病、产检检查、分娩方式、是否使用催产素、分娩时麻醉方式和脐带情况与高龄孕妇新生儿体重无关（P>0.05），孕妇年龄、孕前BMI、孕期体重增加情况、妊娠高血压、合并其他疾病状况、孕次、产次、羊水情况与高龄孕妇新生儿体重相关（P<0.05）。进行Logistic多因素回归分析结果显示，孕妇年龄、孕前BMI、孕期体重增加情况、孕次、产次、羊水情况是影响高龄孕妇新生儿出生体重的独立危险因素（P<0.05）。对新生儿出院转归情况进行单因素分析结果显示，胎次、开奶时间、喂养方式和有无接受治疗与新生儿出院转归无相关性（P>0.05），胎龄、出生体重、Apgar评分、出生窒息史、有无伴发疾病与新生儿转归相关（P<0.05）。进行Logistic多因素分析结果显示，胎龄、出生体重、Apgar评分、出生窒息史、有无伴发病是影响新生儿出院转归的独立危险因素（P<0.05）。结论：孕妇年龄、孕前BMI、孕期体重增加情况、孕次、产次、羊水情况是影响高龄孕妇新生儿出生体重的独立危险因素。新生儿出院转归受到胎龄、出生体重、Apgar评分、出生窒息史、有无伴发病影响。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the influencing factors of neonatal birth weight and discharge outcome of elderly pregnant women. Methods: One hundred and ninety-eight women who attended our hospital from January 2021 to January 2022 were selected as study subjects, and were divided into observation and control groups according to their age at delivery, with the advanced maternal age group (98 cases) being 35 years old at the time of delivery and the moderate age group (100 cases) being 20 to 34 years old at the time of delivery. Logistic one-way analysis and multifactor analysis were performed to compare the birth weight of newborns and the length of hospitalization of newborns between the age-eligible pregnant women and the older pregnant women, and to analyze the factors influencing the weight of newborns and the transfer of newborns to hospital discharge in the older pregnant women. Results: The incidence of low birth weight and large babies in newborns is higher in older pregnant women compared to those of the right age (P<0.05), and the hospitalization time of neonates was significantly longer (P<0.05). Univariate analysis of neonatal weight of elderly pregnant women showed that gestational diabetes mellitus, obstetric examination, mode of delivery, use of oxytocin, anesthesia during delivery and umbilical cord were not associated with neonatal weight of elderly pregnant women (P>0.05). Pre-pregnancy BMI, gestational weight gain, gestational hypertension, combined with other diseases, pregnancy, parity, and amniotic fluid were related to neonatal weight of elderly pregnant women (P<0.05). Logistic multivariate regression analysis showed that maternal age, pre-pregnancy BMI, gestational weight gain, gravidity, parity, and amniotic fluid were independent risk factors for neonatal birth weight in elderly pregnant women (P<0.05). Univariate analysis of neonatal outcomes at discharge showed that parity, breastfeeding time, feeding methods, and whether or not to receive treatment were not associated with neonatal outcomes at discharge (P>0.05); gestational age, birth weight, Apgar score, history of birth asphyxia, and concomitant diseases were associated with neonatal outcomes (P<0.05). Logistic multivariate analysis showed that gestational age, birth weight, Apgar score, history of birth asphyxia, and concomitant disease were independent risk factors for neonatal discharge outcomes (P<0.05). Conclusion: Maternal age, pre-pregnancy BMI, weight gain during pregnancy, gravidity, parity, and amniotic fluid are independent risk factors for neonatal birth weight in advanced pregnant women. Neonatal discharge outcomes were affected by gestational age, birth weight, Apgar score, history of birth asphyxia, and concomitant morbidity. |
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