中国当代儿科杂志2025，Vol.27Issue(9)：1050-1056,7.DOI:10.7499/j.issn.1008-8830.2503096
孕母发生胎龄＜32周极早产的影响因素分析:一项多中心回顾性研究
Factors influencing very preterm birth at less than 32 weeks of gestation:a multicenter retrospective study
摘要
Abstract
Objective To explore the influencing factors for very preterm birth at a gestational age of＜32 weeks in the Xinjiang Uygur Autonomous Region.Methods Clinical data of women with preterm deliveries and their newborns admitted to five hospitals in Xinjiang from January 2023 to December 2024 were retrospectively collected.The subjects were divided by gestational age into very preterm(＜32 weeks of gestation)and moderate/late preterm(32-36+6 weeks of gestation)groups.Risk factors associated with very preterm birth were analyzed.Results A total of 4 105 pregnant women with preterm deliveries were included,with 793 cases(19.32%)in the very preterm group and 3 312 cases(80.68%)in the moderate/late preterm group.The factors significantly associated with very preterm birth were as following:hypertensive disorders of pregnancy(OR=1.785,95%CI:1.492-2.135,P＜0.05),excessive gestational weight gain(GWG,OR=2.002,95%CI:1.672-2.397,P＜0.05),insufficient GWG(OR=1.746,95%CI:1.326-2.300,P＜0.05),chorioamnionitis(OR=2.163,95%CI:1.694-2.763,P＜0.05),premature rupture of membranes≥18 hours(OR=2.158,95%CI:1.599-2.912,P＜0.05),placental abruption(OR=2.228,95%CI:1.646-3.014,P＜0.05),and≤7 prenatal visits(OR=3.419,95%CI:2.882-4.055,P＜0.05).Conclusions In the Xinjiang Uygur Autonomous Region,hypertensive disorders of pregnancy,excessive or insufficient GWG,chorioamnionitis,premature rupture of membranes≥18 hours,placental abruption,and≤7 prenatal visits are risk factors for very preterm birth.Strengthening high-risk pregnancy management is necessary for reducing the incidence of very preterm birth.关键词
极早产/影响因素/新疆/胎龄Key words
Very preterm birth/Influencing factor/Xinjiang/Gestational age引用本文复制引用
王洪娟,热娜·买买提,朱艳萍,张玉军,李海丽,阿热孜古力·阿布都拉,李颖..孕母发生胎龄＜32周极早产的影响因素分析:一项多中心回顾性研究[J].中国当代儿科杂志,2025,27(9):1050-1056,7.基金项目
新疆维吾尔自治区"天山英才"培养计划医药卫生高层次人才培养项目(TSYC202401A020) （TSYC202401A020）
自治区重点研发计划项目(2024B03038). （2024B03038）
