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| Investigation on reproductive health status of elderly women who tried to conceive and its influencing factors analysis |
| Xijing Hospital of Air Force Military Medical University, Xi'an, Shaanxi Province, 710032 |
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Abstract To investigate the reproductive health status of elderly women who tried to conceive, and to analyze the influencing factors of their reproductive health status. Methods: A total of 1178 elderly pregnant women who tried to conceive and accepted preconception counseling were selected as the research objects. Their reproductive health status was investigated through preconception counseling, gynecological physical examination, vaginal ultrasound examination, and laboratory examination. The questionnaire was issued to collected general information of these women. The influencing factors of reproductive health of these women were analyzed. Results: There were 681(57.8%) cases with reproductive system related diseases, of which, there were 34 (2.9%) women with two kinds of reproductive system related diseases at the same time. Among the reproductive system diseases, the detection rate of cervical diseases (23.8%) was the highest, then followed by that (14.5% or 13.8%) of disease of uterus or vulvovaginal diseases, and which of accessory diseases or pelvic inflammatory diseases (5.01% or 3.65%) was relatively low. There was no significant difference in the detection rate of reproductive system diseases among the women with different registered residence, among the women with family income, among the women with BMI values, among the women with parity, among the women with adverse pregnancy history, among the women with other disease history, or among the women with different adverse living habits (P>0.05). There was significant difference in the detection rate of reproductive system diseases among the women with different ages, the women with educational levels, the women with number of abortion, the women with history of gynecological diseases, or the women with different past contraceptive methods (P<0.05). Multivariate analysis showed that age, education level, number of abortion, and history of gynecological diseases were the main factors affecting the reproductive health of elderly women who tried to conceive, and among them, higher education level was the protective factor of their reproductive health, nut the increasing age, history of abortion, and history of gynecological diseases were the risk factors of their reproductive health (P<0.05). Conclusion: The reproductive health status of elderly women who tried to conceive is not optimistic, so counseling and information on the main factors affecting reproductive health of these women should be carried out in order to improve their reproductive health status and reduce the incidence of adverse pregnancies.
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