Abstract：Objective To investigate the situation and importance of pre-pregnancy preparation for the second child among puerperae with advanced maternal age in Qingdao City.Methods A total of 1,016 puerperae with advanced maternal age and delivered the second child in departments of obstetrics and gynecology of hospitals in Qingdao City from January, 2015 to January, 2016 were randomly selected to serve as the research objects, and the status of pre-pregnancy preparation was surveyed. The puerperae with pre-pregnancy preparation were considered as the observation group, while the puerperae without pre-pregnancy served as the control group. We compared and analyzed the incidence rates of maternal complications during pregnancy and parturition, the pregnancy outcomes and the incidence rates of neonatal complications. Results A total of 1,016 questionnaires were issued and 1,000 valid ones retrieved, with the effective recovery rate being 98.43%. There were 627 cases with pre-pregnancy preparation and 373 ones without pre-pregnancy preparation, accounting for 62.7% and 37.3% respectively. Neonatal Apgar score was higher in the observation group than in the control group (P<0.05), while the incidence rates of maternal complications, the vaginal delivery rate and the incidence rates of cesarean section, dystocia, stillbirth and neonatal complications were all lower in the observation group than in the control group, showing statistically significant differences (all P<0.05). Conclusions Only 62.7% of the puerperae with advanced maternal age in Qingdao City in 2015 have the pre-pregnancy preparation for the second child. Pre-pregnancy preparation significantly influences puerperae and neonates; and hence, it is necessary to strengthen health education and propaganda and enhance the awareness of pre-pregnancy preparation of women with advanced maternal age so as to decline the delivery risk and ensure maternal and child health and safety.
俞玫君, 刘巧英,吴玉坤. 2015年青岛市高龄产妇二胎生育孕前保健调查研究[J]. 实用预防医学, 2017, 24(7): 852-853.
YU Mei-jun, LIU Qiao-ying, WU Yu-kun. Pre-pregnancy preparation for the second child in puerperaewith advanced maternal age in Qingdao City, 2015. , 2017, 24(7): 852-853.
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2017, Vol. 24 
