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目的:分析母体因素与早产发生的关联性,寻求降低早产儿出生率的方法。方法:回顾性分析该院2008年1月～2010年12月出生的968例早产儿母亲的一般情况、文化程度、分娩史、孕期情况。结果:(1)2008～2010年早产率逐年上升,分别为3.06%、3.32%、4.20%;前3位早产原因依次为胎膜早破占33.70%,胎盘因素占17.84%,妊娠期高血压疾病占13.33%。⑵非本市户籍产妇的早产发生率(3.70%)明显高于本市户籍产妇早产发生率(2.31%);⑶早产的发生与母体多种因素有关,其中胎膜早破、胎盘因素、妊娠期高血压疾病、妊娠合并内外科疾病是发生早产的主要因素;⑷年龄小或高龄、文化程度低、孕产次数多及未正规产检者早产发生率高。结论:早产的发生与母体多种因素有关,胎膜早破位居首位,需要采取综合积极措施才能减少早产儿的发生。
OBJECTIVE: To analyze the relationship between maternal factors and preterm birth and to find ways to reduce the birth rate in preterm infants. Methods: A retrospective analysis of the hospital from January 2008 to December 2010 968 cases of premature infants born mothers of the general situation, educational level, delivery history, gestational conditions. Results: (1) The premature birth rate increased from 2008 to 2010, which were 3.06%, 3.32% and 4.20% respectively. The causes of preterm premature birth were 33.70%, placental factor 17.84%, gestational hypertension Diseases accounted for 13.33%. (2) The prevalence of premature birth (3.70%) in non-city domicile maternity was significantly higher than that in this city (2.31%); (3) The occurrence of prematurity was related to maternal multiple factors, including premature rupture of membranes, placental factors, pregnancy Hypertension, pregnancy and surgical diseases are the main factors of premature delivery; (4) There is a high incidence of premature birth in younger or older age, lower educational level, more maternity and non-regular births. Conclusions: The occurrence of prematurity is related to many factors of maternal, premature rupture of membranes is the first place, need to take comprehensive and positive measures to reduce the incidence of premature children.