经产妇发生急产的现状及影响因素分析

doi:10.3969/j.issn.1006-9143.2025.06.013

摘要/Abstract

摘要： 目的：探究经产妇发生急产的现状及影响因素，为早期识别急产高风险人群提供参考。方法：回顾性收集 2021 年 1 月 1 日至2023 年 9 月 30 日在天津市某三级甲等医院产科分娩的 819 例经产妇病例资料，采用单因素分析、多重共线性分析、Logistic 回归分析筛选经产妇发生急产的危险因素。结果：经产妇的急产发生率为 39.68%。Logistic 回归分析结果显示，急产与产妇的年龄（OR=1.904，P＜0.01）、与前次分娩间隔时间（OR=0.913，P＜0.01）、合并妊娠期高血压疾病（OR=1.977，P＜0.01）、缩宫素催产（OR=0.502，P＜0.01）、分娩镇痛（OR=7.428，P＜0.01）、急产史（OR=3.141，P＜0.01）、胎膜早破（OR=2.232，P＜0.01）相关。结论：经产妇急产发生率较高。产妇年龄≥35 岁、合并妊娠期高血压疾病、未使用分娩镇痛、有急产史、胎膜早破是经产妇发生急产的危险因素，而与前次分娩间隔时间、使用缩宫素催产是经产妇发生急产的保护因素。医护人员应针对经产妇高风险群体展开针对性干预，降低其急产发生率及不良围产结局，改善生活质量及预后。

关键词: 急产, 产次：经产妇, 影响因素

Abstract: Objective: To analyze the current status and influencing factors of precipitate delivery in multiparas, provide a reference in order to identify the high-risk population of precipitate delivery. Methods: A retrospective data collection method was used and a total of 819 multiparas who labor in a grade A tertiary hospital in Tianjin from Janurary 1, 2021 to September 30, 2023 were included. By using univariate analysis, multivariate logistic regression analysis and VIF, the risk factors of precipitate delivery in multiparas were determined. Results: The proportion of precipitate delivery in multiparas was 39.68%. Logistic regression analysis showed that maternal age (OR=1.904, P＜0.01), the interpregnancy interval (OR=0.913, P＜0.01), hypertensive disorders of pregnancy (OR=1.977, P＜0.01), labor induction by oxytocin (OR=0.502, P＜0.01), labor analgesia (OR=7.428, P＜0.01), history of precipitate delivery (OR=3.141, P＜0.01), premature rupture of membranes (OR =2.232, P＜0.01) were independently associated with precipitate delivery. Conclusion: The incidence of precipitate delivery in multiparas was high. The multiparas whose age ≥35 years old, suffered from the hypertensive disorders of pregnancy, did not use labor analgesia, history of precipitate delivery, premature rupture of membranes were risk factors in multiparas of precipitate delivery, whereas the labor induction by oxytocin and the interpregnancy interval were protective factors in multiparas of precipitate delivery. In order to reduce the incidence of precipitate delivery in multiparas and the adverse outcomes during perinatal period along with the improved quality of life and the medical prognosis, the pertinency interventions should be carried out by professional health-carers.

Key words: Precipitate delivery, Parity, Multipara, Influencing factors

韩璐王雪薛军杨译萱付丽. 经产妇发生急产的现状及影响因素分析[J]. 天津护理, 2025, 33(6): 696-701.

HAN Lu, WANG Xue, XUE Jun, YANG Yixuan, FU Li. The current status and influencing factors of precipitate delivery in multiparas[J]. Tianjin Journal of Nursing, 2025, 33(6): 696-701.

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经产妇发生急产的现状及影响因素分析

The current status and influencing factors of precipitate delivery in multiparas

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