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| Risk factor analysis of adverse pregnancy outcomes of childbearing age women in rural area of Haikou |
| Haikou Maternity and Child Health Care Hospital, Hainan Province, 570100 |
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Abstract To understand the situation and the possible risk factors of adverse pregnancy outcomes of women of childbearing age in rural areas of Haikou, and to provide reference for reducing the occurrence of adverse pregnancy outcomes of Haikou. Methods: From January 1, 2019 to February 28, 2021, 2,335 rural married women of childbearing age in Haikou who participated in the national free pre-pregnancy healthy birth examination program were selected as the subjects. The pregnant situation during the first trimester of pregnancy and the pregnancy outcomes of these women were followed up. Results: Among 2335 women, 1356 women were pregnancy within 1 year after participation of the national free pre-pregnancy healthy birth examination program, with the pregnant rate of 58.1%. Among them, 93 (6.9%) women had adverse pregnancy outcomes. Multivariate logistic regression analysis showed that maternal age ≥35 years old, the value of body mass index ≥24 kg/m2, the education level of the women or their husband less than high school, the smoking or passive smoking, the exposure to harmful substances, and the reproductive tract infection were all the risk factors of their adverse pregnancy outcomes (P<0.05). Conclusion: It is suggested that local management departments should be strengthen the publicity and education, and the couples with risks of adverse pregnancy outcomes who planning to pregnancy should be counselling to avoid the adverse risks mentioned above, and should be strengthened the awareness of self health care and selfprotecting of reproductive tract, so as to reduce the occurrence of adverse pregnancy of the women.
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