232例青少年初产的围产结局分析

蔡惠芬; 刘小燕; 王江; 吴琳; 常青

doi:10.16016/j.1000-5404.201702134

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232例青少年初产的围产结局分析

临床医学 | 更新时间：2026-01-09

- 232例青少年初产的围产结局分析
- Analysis of perinatal outcomes in 232 adolescent primiparas
- 第三军医大学学报 2017年39卷第15期页码：1574-1577
- 作者机构：
  
  400038 重庆，第三军医大学西南医院妇产科
- 作者简介：
  
  [ 常青, E-mail: cqli99@126.com CHANG Qing, E-mail: cqli99@126.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201702134
  中图分类号： R195.1; R339.31; R714.7
- 收稿：2017-02-23，
  
  修回：2017-03-23，
  
  纸质出版：2017-08-15
- 稿件说明：
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蔡惠芬, 刘小燕, 王江, 等. 232例青少年初产的围产结局分析[J]. 第三军医大学学报, 2017,39(15):1574-1577.

Huifen CAI, Xiaoyan LIU, Jiang WANG, et al. Analysis of perinatal outcomes in 232 adolescent primiparas[J]. Journal of Third Military Medical University, 2017, 39(15): 1574-1577.
蔡惠芬, 刘小燕, 王江, 等. 232例青少年初产的围产结局分析[J]. 第三军医大学学报, 2017,39(15):1574-1577. DOI： 10.16016/j.1000-5404.201702134.

Huifen CAI, Xiaoyan LIU, Jiang WANG, et al. Analysis of perinatal outcomes in 232 adolescent primiparas[J]. Journal of Third Military Medical University, 2017, 39(15): 1574-1577. DOI： 10.16016/j.1000-5404.201702134.

摘要

目的

比较青少年初产妇与其他年龄段初产妇产科并发症、合并症和妊娠结局的差异。

方法

回顾分析第三军医大学西南医院2005年1-12月产科分娩的孕前无合并症的初产妇的临床资料，按年龄分为青少年组(≤19岁，232例)、＞19~＜35岁组(464例)和高龄组(≥35岁，464例)，比较其一般情况、产科并发症、合并症及其妊娠结局。

结果

青少年组未婚、高中以下文化程度、无职业、初次怀孕、早产率和妊娠合并贫血、软产道裂伤比例均高于＞19~＜35岁组和高龄组，青少年组孕期平均增加体质量、剖宫产率、妊娠期糖尿病、前置胎盘发生率及新生儿平均体质量低于＞19~＜35岁组和高龄组，青少年组中妊娠期高血压疾病的发生率高于＞19~＜35岁组，差异均有统计学意义(

＜0.05)，但与高龄组比较差异无统计学意义(

＞0.05)；3组间比较，妊娠期肝内胆汁淤积症和胎膜早破的发生率差异无统计学意义(

＞0.05)。

结论

青少年和高龄初产妇妊娠并发症和合并症多，但前者的妊娠结局较后者更易改善。

Abstract

Objective

To compare the differences in the obstetrical complications

comorbidities and pregnancy outcomes among the primiparas in adolescence and those at other age groups.

Methods

A retrospective study was carried out on the primipara patients without complications before pregnancy and delivered in our department from January 2005 to December 2015. These primiparous women were divided into adolescent group (≤19 years old

=232)

young g

roup (

19~

35 years old

=464) and elderly group (≥35 years old

=464). Their general information

obstetrical complications and comorbidities

and pregnancy outcomes were compared among the 3 groups.

Results

The proportions of unmarried

no job

first pregnancy

pre-mature delivery

pregnancy with anemia

soft birth canal laceration

and educational level lower than senior middle school were significantly higher in those teenager mothers than the

19~

35 years old group and the elderly group (

0.05). The average pregnancy weight gain and newborn weight

and the incidence rates of cesarean

gestational diabetes mellitus and placenta previa were lower in the adolescent group than other 2 groups (

0.05). The incidence of gestational hypertension was obviously higher in the adolescent group than the

19~

35 years old group (

0.05)

but significant difference was found when compared with the elderly group (

0.05). There were no differences in occurrences of intrahepatic cholestasis of pregnancy and premature rupture of membranes among the 3 groups (

0.05).

Conclusion

The incidence rates of pregnancy complications and comorbidities are common in the adolescent primiparas and the other age groups

but the outcomes are easy to improved in the adolescent.

关键词

Keywords

references

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