中国工程科学Issue(5)：56-59,4.
免费孕前优生健康检查对象潜在危险因素接触和妊娠结局分析
Potential risk factors exposure and pregnant outcomes among women receiving free pre-pregnancy health examination
车焱 1朱昊平 1周公望 2王彩琴 2张焕玲 1张建娥 1闫立新 3陆珍 1陆梅 1沈洁1
作者信息
- 1. 上海市计划生育科学研究所，上海200032
- 2. 上海市静安区卫生和计划生育委员会，上海200040
- 3. 上海市静安区人口和计划生育指导中心，上海200040
- 折叠
摘要
Abstract
To provide evidence for effectiveness evaluation of the government project free pre-pregnancy health examination through reporting exposure of potential risk factors of ad-verse pregnancy outcome and pregnancy rate and the pregnancy outcome of the couples to be pregnant after free pre-pregnancy physical examination in Jingan District,Shanghai. Follow-ups were completed to women who had a free pre-prenancy health examination in Jingan Dis-trict from August 2011 to November 2012,which foucused on exposure of potential risk factors of adverse pregnancy outcome,time of pregnancy and pregnancy outcome of the women. Chisq test,life table and Logistic regression model were used for data analysis. 1 480 couples had free pre-pregnancy health examinations in the target period. Of which,84.4 % were fol-lowed up. By April 2013,48.7%of the women who were followed up were pregnant. The cu-mulative pregnancy rate at 3 months and 6 months after free pre-pregnancy health examination was 23.9%and 45.0%,respectively. 365 women completed the follow up about pregnancy out-comes. The incidence rate of premature delivery,low birth weight,giant baby and spontaneous abortion was 3.0%,4.3%,3.3%and 6.3%,respectively. One birth defect was reported dur-ing the follow up period,accounting for 0.16%of the number of pregnant women and 0.27%of the number of women who had pregnancy outcomes. The proportion of husbands who had un-healthy habits such as smoking or drinking ranged from 18%to 20%,which was much higher than that of their wives (1%~3%). 77%husbands and 77%wifives exposed to potential elec-tromagnetic radiation over 8 hours a day. 9%couples reported exposing to potential teratogenic-ity such as heavy mental,pesticide and chemical fertilizer in their daily life and work. Over 10%wivies had exposed to potential teratogenicity after they were pregnant. Primary analysis showed no association between the above factors and adverse pregnancy outcomes. Since the 6-month cumulative pregnancy rate of women who had free pre-pregnancy health examination was lower than 50%,it is necessary to evaluate the cost benefit of free pre-pregnancy health ex-amination in Shanghai and throughout the country.关键词
孕前优生健康检查/妊娠率/累积妊娠率/不良妊娠结局/危险因素Key words
free pre-pregnany health examination/pregnancy rate/cumulative pregnancy rate/adverse pregnancy outcome/risk factors分类
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车焱,朱昊平,周公望,王彩琴,张焕玲,张建娥,闫立新,陆珍,陆梅,沈洁..免费孕前优生健康检查对象潜在危险因素接触和妊娠结局分析[J].中国工程科学,2014,(5):56-59,4.
