Volume 22 Issue 3
Mar.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(3): 451-454
CHENG Xianying, WANG Yuanyuan, ZHANG Penghui, XU Liya. Study on pregnancy characteristics, delivery modes, and perinatal outcomes of after three-child Policy[J]. Chinese Journal of General Practice, 2024, 22(3): 451-454. doi: 10.16766/j.cnki.issn.1674-4152.003424
Citation: CHENG Xianying, WANG Yuanyuan, ZHANG Penghui, XU Liya. Study on pregnancy characteristics, delivery modes, and perinatal outcomes of after three-child Policy[J]. Chinese Journal of General Practice, 2024, 22(3): 451-454. doi: 10.16766/j.cnki.issn.1674-4152.003424
shu

Study on pregnancy characteristics, delivery modes, and perinatal outcomes of after three-child Policy

doi: 10.16766/j.cnki.issn.1674-4152.003424
  • 1.

    Department of Obstetrics and Gynecology, Shulan (Hangzhou) Hospital, Hangzhou, Zhejiang 310022, China

Funds:

 202208

 20220020

 2023ZL591

  • Received Date: 2023-10-28
    Available Online: 2024-05-27
    Abstract
  •   Objective  To examine changes in pregnancy characteristics, mode of delivery and perinatal outcomes following the three-child policy.  Methods  We retrospectively collected clinical data from 1 049 parturients from Shulan (Hangzhou) Hospital who gave birth between January 2020 and June 2021 (control group) before the three-child policy and 725 parturients who gave birth between April 2022 and September 2023 (study group) after the policy. We compared the demographics, pregnancy complications, obstetric complications, mode of delivery and perinatal outcomes of the two groups.  Results  The incidences of gestational diabetes mellitus (18.76%, 136 cases), placenta accreta (1.93%, 5 cases), fetal distress (9.79%, 71 cases), and pregnancy associated with hypothyroidism (12.83%, 93 cases) were significantly higher in the study group those in the control group [14.68% (154 cases), 0.76% (8 cases), 3.53% (37 cases), 8.77% (92 cases), P < 0.05]. The incidences of intrahepatic cholestasis of pregnancy (1.24%, 9 cases) and pregnancy combined with hepatitis B (2.07%, 15 cases) were significantly lower those in the control group [2.67% (28 cases), 3.72% (39 cases), P < 0.05]. The rate of vaginal assisted delivery in the study group was higher than that in the control group, whereas the rate of vaginal delivery in women with scarred uterus was lower than that in the control group (P < 0.05). The rates of caesarean section for first and second births in the study group were significantly lower than those in the control group, while the rate of caesarean section for third birth was significantly higher than that in the control group (P < 0.05). The non-medical indication cesarean section rate and the non-medical indication cesarean section rate for the second and third births in the study group were significantly higher than those in the control group, whereas the non-medical indication cesarean section rate for the first births was significantly lower those that in the control group (P < 0.05). The incidences of postpartum hemorrhage, postpartum anemia, hypoproteinemia, macrosomia and neonatal asphyxia were higher in the study group than in the control group (P < 0.05).  Conclusion  The main birth population after the implementation of the three-child policy remains first and second births, with a higher number of older second births. Some pregnancy complications, obstetric complications and adverse perinatal outcomes have increased.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    程贤鹦, 孙志强. 生育政策调整对剖宫产分娩的影响及三孩政策下管理策略探讨[J]. 中国优生与遗传杂志, 2022, 30(8): 1296-1299. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYA202208002.htm

    CHENG X Y, SUN Z Q. The influence of fertility policy adjustment on the mode of cesarean section and the management strategy under the three-child policy[J]. Chinese Journal of Birth Health and Heredity, 2022, 30(8): 1296-1299. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYA202208002.htm
    [2]
    新华社. 中共中央国务院关于优化生育政策促进人口长期均衡发展的决定[EB/OL]. (2021-07-20)[2023-10-15]. http://www.gov.cn/xinwen/2021-07/20/content_5626190.html.

    THE XINHUA NEWS AGENCY. Decision of the Central Committee of the Communist Party of China and The State Council on optimizing the fertility policy and promoting the long-term and balanced development of population[EB/OL]. (2021-07-20)[2023-10-15]. http://www.gov.cn/xinwen/2021-07/20/content_5626190.html.
    [3]
    中华医学会妇产科学分会产科学组. 剖宫产手术的专家共识(2014)[J]. 中华妇产科, 2014, 49(10): 721-724. doi: 10.3760/cma.j.issn.0529-567x.2014.10.001

    Obstetrics Group, Obstetrics And Gynecology Branch, Chinses Medical Association. Expert consensus on cesarean section (2014)[J]. Chin J Obstet Gynecol, 2014, 49(10): 721-724. doi: 10.3760/cma.j.issn.0529-567x.2014.10.001
    [4]
    谢幸, 孔北华, 段涛. 妇产科学[M]. 9版. 北京: 人民卫生出版社, 2018: 70-220.

    XIE X, KONG B H, DUAN T. Gynecology and Obstetrics[M]. 9th Ed. Beijing: People ' s Medical Publishing House, 2018: 70-220.
    [5]
    王卫平, 孙锟, 常立文. 儿科学[M]. 9版. 北京: 人民卫生出版社, 2018: 86-139.

    WANG W P, SUN K, CHANG L W. Pediatrics[M]. 9th Ed. Beijing: People ' s Medical Publishing House, 2018: 86-139.
    [6]
    张静, 雍会. 育龄人群三孩生育意愿的影响因素分析[J]. 统计与决策, 2022, 38(20): 72-77. https://www.cnki.com.cn/Article/CJFDTOTAL-TJJC202220014.htm

    ZHANG J, YONG H. Analysis on the influencing factors of three-child fertility intention in the population of childbearing age[J]. Statistics and Decision, 2022, 38(20): 72-77. https://www.cnki.com.cn/Article/CJFDTOTAL-TJJC202220014.htm
    [7]
    陈练, 石慧峰, 魏煖, 等. 2019年度全国产科专业医疗服务与质量安全报告分析[J]. 中国卫生质量管理, 2022, 29(5): 1-5, 16. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG202205001.htm

    CHEN L, SHI H F, WEI Y, et al. Analysis of the report on medical service and quality safety of obstetrics in China in 2019[J]. Chinese Health Quality Management, 2022, 29(5): 1-5, 16. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG202205001.htm
    [8]
    王海娜, 顾优飞, 陆静静, 等. 310例高龄产妇生育现状、并发症及妊娠不良结局分析[J]. 中华全科医学, 2020, 18(4): 609-611. doi: 10.16766/j.cnki.issn.1674-4152.001310

    WANG H N, GU Y F, LU J J, et al. Analysis of fertility status, complications and adverse pregnancy outcomes in 310 elderly parturient women[J]. Chinese Journal of General Practice, 2020, 18(4): 609-611. doi: 10.16766/j.cnki.issn.1674-4152.001310
    [9]
    左俊芳, 刘沙沙, 崔洪艳. 妊娠期糖尿病高危因素及预防措施研究[J]. 医学信息, 2022, 35(17): 177-180. doi: 10.3969/j.issn.1006-1959.2022.17.048

    ZUO J F, LIU S S, CUI H Y. Study on high risk factors and preventive measures of gestational diabetes mellitus[J]. Journal of Medical Information, 2022, 35(17): 177-180. doi: 10.3969/j.issn.1006-1959.2022.17.048
    [10]
    LAINE M K, KAUTIAINEN H, GISSLER M, et al. Gestational diabetes in primiparous women-impact of age and adiposity: a register-based cohort study[J]. Acta Obstet Gynecol Scand, 2018, 97(2): 187-194. doi: 10.1111/aogs.13271
    [11]
    中华医学会妇产科学分会产科学组, 中国医师协会妇产科分会母胎医学专委会. 胎盘植入性疾病诊断和处理指南(2023)[J]. 中华围产医学杂志, 2023, 26(8): 617-627. doi: 10.3760/cma.j.cn113903-20230428-00278

    Chinese Medical Association Obstetrics And Gynecology Branch Obstetrics Group, Chinese Medical Association Obstetrics And Gynecology Branch Maternal Fetal Medicine Special Committee. Guidelines for diagnosis and management of placenta accreta diseases (2023)[J]. Chinese Journal of Perinatal Medicine, 2023, 26(8): 617-627. doi: 10.3760/cma.j.cn113903-20230428-00278
    [12]
    BALDWIN H J, PATTERSON J A, NIPPITA T A, et al. Antecedents of abnormally invasive placenta in primiparous women: risk associated with gynecologic procedures[J]. Obstet Gynecol, 2018, 131(2): 227-233. doi: 10.1097/AOG.0000000000002434
    [13]
    KAM W, CHARAT T, ANAWIN S, et al. Hepatitis B infection and intrahepatic cholestasis of pregnancy: a systematic review and meta-analysis[J]. Medicine, 2020, 99: e21416. DOI: 10.1097/MD.0000000000021416.
    [14]
    余勤俭, 张梦思, 陈杨萍. 二孩政策下初产妇分娩方式调查及影响因素分析[J]. 中国医院统计, 2019, 26(2): 144-146. doi: 10.3969/j.issn.1006-5253.2019.02.018

    YU Q J, ZHANG M S, CHEN Y P. Analysis on the mode of delivery of primipara women and related influencing factors under the policy of second child[J]. Chinese Journal of Hospital Statistics, 2019, 26(2): 144-146. doi: 10.3969/j.issn.1006-5253.2019.02.018
    [15]
    郭慧芳, 陈益君, 赵婉萍, 等. 椎管内持续泵注自控分娩镇痛技术在阴道分娩产妇中的应用效果[J]. 中华全科医学, 2022, 20(10): 1711-1714. doi: 10.16766/j.cnki.issn.1674-4152.002686

    GUO H F, CHEN Y J, ZHAO W P, et al. Effect of continuous intraspinal pump injection of patient-controlled labor analgesia in vaginal delivery[J]. Chinese Journal of General Practice, 2022, 20(10): 1711-1714. doi: 10.16766/j.cnki.issn.1674-4152.002686
    [16]
    邓波, 胡霞, 张成, 等. 全面"二孩"政策下孕产妇健康管理对策研究[J]. 南京医科大学学报(社会科学版), 2021, 132(2): 159-164. https://www.cnki.com.cn/Article/CJFDTOTAL-YKNS202102012.htm

    DENG B, HU X, ZHANG C, et al. Research on maternal health management under the comprehensive two-child policy[J]. Journal of Nanjing Medical University(Social Sciences Edition), 2021, 132(2): 159-164. https://www.cnki.com.cn/Article/CJFDTOTAL-YKNS202102012.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (104) PDF downloads(7) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return