标题：妊娠意愿的影响因素及其对母婴结局的影响

      作者：杨煜霞 1，闵娟 1，张艳萍 1，袁贵红 1，丁德先 2，王丽娜 3
    (1.深圳市坪山新区妇幼保健院妇产科，广东 深圳 518122；
2.深圳市大鹏新区葵涌人民医院妇产科，广东 深圳 518121；
3.深圳市坪山新区人民医院妇产科，广东 深圳 518123)

      卷次： 2016年27卷15期

      【摘要】 目的 探讨妊娠意愿的影响因素和妊娠意愿对围产期孕产妇及婴儿健康情况的影响。方法 将
2012年1月至2014年6月于我院及协作单位接受住院治疗的826例孕妇纳入研究，其中意愿妊娠组547例，非意愿
妊娠组279例。在不受家属及医护人员干扰的情况下患者完成问卷调查，分析年龄、职业、居住地、是否多性伴侣、
是否未婚同居、是否强迫性行为和首次性行为年龄等影响妊娠意愿的因素，分析意愿与非意愿妊娠对母婴健康(定
期产前保健、坚持母乳喂养、早产率、低体重患儿率、罹患严重疾病和死亡率）的影响。结果 在对年龄、职业、居住
地、初次性行为年龄、性伴侣人数、未婚同居和强迫性行为进行单因素分析后发现：居住地对非意愿妊娠无影响（P>
0.05)，而年龄、职业、初次性行为年龄小于18岁、性伴侣人数超过2人、未婚同居和强迫性行为是影响非意愿妊娠的重
要因素(P<0.05)；以发生非意愿妊娠与否为因变量，以筛选出的影响因素为自变量，进行Logistic回归分析后发现：是否
为学生、多性伴侣和强迫性行为及居住地对非意愿妊娠无影响(P>0.05)；而年龄、首次性行为超过18岁和是否为未婚
同居显示出对非意愿妊娠具有重要影响(P<0.05)；两者在规律进行产前保健(87.5% vs 64.2%)、母乳喂养(92.4% vs
47.6%)方面进行比较，意愿妊娠者比例明显高于非意愿妊娠者，两者在出现早产(11.4% vs 17.6%)、低体重患儿(14.3%
vs 21.7%)方面进行比较，意愿妊娠者明显低于非意愿妊娠者，差异均具有统计学意义(P<0.05)。结论 意愿妊娠对提
高母婴结局有明显促进作用，应向普通群众推广意愿妊娠的益处，普及非意愿妊娠的危害。

      【关键词】 妊娠意愿；非意愿妊娠；影响因素；母婴结局

      【中图分类号】 R714.1 【文献标识码】 D 【文章编号】 1003—6350（2016）15—2561—03


Influence factors of pregnancy intention and its effect on maternal and infant outcomes.
YANG Yu-xia 1, MIN Juan 1,
ZHANG Yan-ping 1, YUAN Gui-hong 1, DING De-xian 2, WANG Li-na 3. 1. Department of Obstetrics and Gynecology,
Shenzhen Pingshan New District Maternal and Child Health Hospital, Shenzhen 518122, Guangdong, CHINA; 2. Department
of Obstetrics and Gynecology, Shenzhen Dapeng New District People's Hospital, Shenzhen 518121, Guangdong, CHINA; 3.
Department of Obstetrics and Gynecology, Shenzhen Pingshan New District People's Hospital, Shenzhen 51812, Guangdong,
CHINA

【Abstract】 Objective To discuss the influence factors of pregnancy intention and the influence of pregnancy
intention on the effect of perinatal maternal and infant health outcomes. Methods A total of 826 cases of pregnant
women, who hospitalized in our hospital from January 2012 to June 2014, were selected as the study objects and divided
into the intended pregnancy group (n=547) and the unintended pregnancy group (n=279). In the case of non family mem-
bers and medical staff to interfere, patients completed a questionnaire survey, to investigate the influencing factors of preg-
nancy intention, such as age, occupation, place of residence, the number of sexual partners, unmarried cohabitation, com-
pulsive sexual behavior, age of first sexual behavior. The effect of intended and unintended pregnancy on maternal and in-
fant health (regular antenatal care, insist on breastfeeding, premature delivery rate, low birth weight children rate, suffered
from serious illnesses and mortality) correlation were analyzed. Results The single factor analysis of age, occupation,
·调查研究·
6350.2016.15.054