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目的了解阜阳市农村孕妇早产发生现状并分析其影响因素,为早产的防控提供科学依据。方法采取整群抽样的方法抽取了阜阳市太和、颍上、界首3个县区,对3个地区的农村所有孕妇的妊娠结局、孕前及孕期情况进行问卷调查,采用非条件多因素logistic回归分析早产的影响因素。结果共有效调查5 902名孕妇,其中403名为早产孕妇,早产率为6.8%。多因素回归显示孕妇的怀孕次数越多、孕期压力越大、孕期厌食蔬菜、平时月经量较多以及丈夫在孕期吸烟、饮酒为早产的危险因素;而孕妇平时的月经周期和经期越长,以及婴儿为女性和体重越重为早产的保护因素。结论阜阳市农村孕妇的早产率相对较低,但是多种因素可以影响早产的发生,妇女应该重视自己月经的规律性,孕期减少压力并且多食蔬菜,丈夫在孕妇孕前和孕期应停止吸烟和饮酒,以进一步减少早产的发生。
Objective To understand the status quo of preterm birth in rural pregnant women in Fuyang City and analyze its influencing factors so as to provide a scientific basis for the prevention and control of preterm birth. Methods A cluster sampling method was used to select the three counties in Taihe, Yingshang and Jieshou in Fuyang City. The pregnancy outcomes, pre-pregnancy and pregnancy status of all the pregnant women in rural areas of the three regions were surveyed. The non-conditional multivariate logistic Regression analysis of the influencing factors of preterm labor. Results A total of 5 902 pregnant women were investigated. Among them, 403 were pregnant women with preterm birth and their preterm birth rate was 6.8%. Multivariate regression showed that pregnant women had more pregnancies, more stress during pregnancy, anorexia vegetables during pregnancy, more menstrual flow at normal times, and husbands smoking and drinking during pregnancy were risk factors for preterm birth. However, the longer the menstrual cycle and menstrual cycle were, Infants are female and heavier are protective factors for preterm delivery. Conclusion The premature birth rate of pregnant women in rural areas of Fuyang City is relatively low, but a variety of factors can affect the occurrence of prematurity. Women should pay attention to the regularity of their menstruation, reduce stress during pregnancy and eat more vegetables. The husband should stop smoking and drinking before and during pregnancy , To further reduce the incidence of premature birth.