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| Analysis of maternal complication and pregnancy outcomes |
| 1.Haidian District Maternal and Child Health Care Hospital, Beijing, 100086; 2.Beijing Shijitan Hospital, Capital Medical University |
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Abstract To learn about the incidence of maternal complications and the pregancy outcomes of the women from the maternal surveillance institution, and to provide the scientific evidences for the district maternal management. Methods: A retrospective study conducted on the data from National Severe Maternal Surveillance Information Management System (reporting directly by network). The incidence of pregnancy-related complications and the pregnancy outcomes of the women who had delivered between October 1, 2017 and September 30, 2022 were analyzed. Results: The incidence of the pregnancy complications of the women in 7514 cases was 72.8%. There were significant differences in the incidences of the all kinds of pregnancy complications in the last five years among the women in different quarters, and among the women with different age range (P<0.05). Multivariate Logistic regression analysis showed that the number of the antenatal examination ≥8 times of the women was the protective factor of their pregnancy complications (OR=0.490，95%CI 0.295-0.813). The maternal age ≥35 years old of the women was the risk factor of their pregnancy complications (OR=1.398，95%CI 1.218-1.605). The proportions of the adverse pregnancy outcomes, such as low body weight of the newborns, premature delivery, cesarean section, and macrosomia of the women with complications were significantly higher than those of the women without complications (P<0.05). Conclusion: The age-appropriate marriage and the antenatal care regularly of the women should be promoted, and the complications of the women during pregnancy and childbirth should be found timely, and the early intervention and treatment of these complications should be conducted, so as to avoid the occurrence of maternal death and the adverse pregnancy outcomes.
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