摘要
Abstract
Objective To explore the influencing factors of maternal critical illness in Zhengzhou, so as to provide scientific evidence for reducing the incidence of maternal critical illness and ensuring perinatal safety. Methods Retrospective analysis was conducted on the clinical data of 807 cases with maternal critical illness reported by 12 monitoring units in Zhengzhou from 2012 to 2013. Results The incidence rate of maternal critical illness in Zhengzhou was 0. 72%. Multivariate Logistic regression analysis showed that age, educational level, times of prenatal care, and number of pregnancy and history of cesarean section were influencing factors of maternal critical illness. The risk of critical illness among pregnant women younger than 20 years was 2. 484 times of that among those aged 20-34 years ( OR=2. 484,95%CI:0. 906-6. 814), and that among the pregnant women older than 35 years was 1. 259 times of that among those aged 20-34 years (OR=1. 259,95%CI:1. 033-1. 535). Pregnant women with junior high school education had 3. 489 times of risk of those with college or higher leveled education (OR=3. 489, 95%CI:2. 090-5. 824), and illiteracy had 9. 419 times of risk of those with college or higher leveled education (OR=9. 419, 95%CI:5. 610-15. 813). The risk of critical illness among pregnant women without prenatal care was 2. 167 times of that among those with prenatal examination for more than 5 times (OR=2. 167,95%CI:1. 806 -2. 601), and that among cases with cesarean section for more than 2 times was 2. 912 times of that among those without cesarean section history ( OR =2. 912,95%CI:1. 965-4. 316). Conclusion Enhancing health education and maternal health care, advocating pregnancy at proper age, and reducing cesarean section rate can effectively reduce the occurrence of maternal critical illness and guarantee the safety of mother and fetus.关键词
孕产期保健/危重孕产妇/危险因素/Logistic回归分析Key words
maternal health care/pregnant women with critical illness/risk factors/Logistic regression analysis分类
医药卫生
