Objective To discuss the correlation between perinatal conditions of pregnant women and neonatal weight and Apgar score and to analyze the main factors influencing maternal and neonatal health, so as to provide theoretical basis for prenatal care and neonatal disease prevention measures.Methods Altogether 2 219 parturient women delivering in First Affiliated Hospital of Xi'an Jiaotong University in 2015 were selected as research subjects.Delivery age, menarchal age, duration of pregnancy, gestational weight gain, gravidity, parity, abortion times and neonatal Apgar score were analyzed.Influencing factors of neonatal body weight were analyzed retrospectively.Results Average age at delivery of women recruited was high.With increase of delivery age, average neonatal birth weight showed a trend of first increase and then decrease.Difference in neonatal weight in pregnant women with different delivery age was statistically significant (F=14.145,P=0.000).There was no significant difference in neonatal birth weight among pregnant women with different menarchal age (F=1.153, P=0.221).With increase of duration of pregnancy, average neonatal birth weight increased with statistically significant difference (F=1892.945,P=0.000).With increase of gestational weight gain, average neonatal birth weight had a little rising trend, and difference was statistically significant (F=4.614, P=0.003).There was a downward trend for average neonatal birth weight with gravidity increase, and difference had statistical significance (F=33.788,P=0.000).With increase of parity, average neonatal birth weight increased with statistically significant difference (F=7.880, P=0.000).Neonatal weight of women with different abortion times had no significant difference(F=1.636, P=0.163).Duration of pregnancy was positively and closely related with 1min, 5min and 10min Apgar score of neonates (r value was 0.129, 0.143 and 0.148, respectively, all P<0.05).Parity showed negative correlation with neonatal 1min, 5min and 10min Apgar scores (r value was-0.085,-0.071 and-0.066 respectively, all P<0.05).Regression analysis showed that influencing factors of neonatal birth weight were pregnancy duration (P=0.000), gestational weight gain (P=0.000) and marital status (P=0.021).Conclusion There is close correlation between duration of pregnancy, parity, gestational weight gain, marital status and neonatal health.So medical staff should pay attention to perinatal health care education to strengthen prenatal care and improve neonatal health.%目的 探讨产妇的围产期情况与其新生儿体重和Apgar评分的相关性,分析影响产妇和新生儿健康的主要因素,为孕期保健干预和新生儿疾病的防治措施提供理论依据.方法 选取2015年在西安交通大学第一附属医院进行分娩的产妇2 219例,对产妇的分娩年龄、初潮年龄、妊娠周期、孕期体重增加、孕次、产次、流产次数及其新生儿Apgar评分进行分析,并对新生儿体重的影响因素进行回归分析.结果 纳入研究的产妇平均分娩年龄较高,且随着分娩年龄段的升高,其新生儿平均出生体重呈现先升高后降低的趋势,不同分娩年龄段产妇所生新生儿体重比较,差异有统计学意义(F=14.145,P=0.000).不同初潮年龄段产妇所生新生儿平均体重比较差异无统计学意义(F=1.153,P=0.221),随着产妇妊娠周期的增加,其新生儿平均体重呈上升趋势,差异有统计学意义(F=1 892.945,P=0.000),随着产妇孕期体重的增加,新生儿平均体重呈较小的上升趋势,差异有统计学意义(F=4.614,P=0.003);新生儿平均出生体重随着产妇孕次的增加而降低,差异有统计学意义(F=33.788,P=0.000);新生儿平均出生体重随着产妇产次的增加而呈升高趋势,不同产次的产妇所生新生儿体重比较差异有统计学意义(F=7.880,P=0.000);不同流产次数的产妇所生新生儿体重比较差异无统计学意义(F=1.636,P=0.163).妊娠周期与新生儿1min、5min和10minApgar评分密切相关,且呈正相关(r值分别为0.129、0.143、0.148,均P<0.05);产次与新生儿1min、5min和10min Apgar评分呈负相关(r值分别为-0.085、-0.071、-0.066,均P<0.05).回归分析筛选出来的影响新生儿出生体重的因素有妊娠周期(P=0.000)、孕期体重增加情况(P=0.000)、婚姻状况(P=0.021).结论 妊娠周期、产妇的产次、妊娠期体重增加情况、婚姻状况与新生儿健康关系密切,医护人员在孕产妇围产期应注意保健教育干预,加强孕期保健,提高新生儿的健康状况.
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