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Research In The Impacting Factors Of Lead Mountain County Rural Pregnant Eugenics

Posted on:2014-09-02Degree:MasterType:Thesis
Country:ChinaCandidate:D M ZhuFull Text:PDF
GTID:2284330431971061Subject:Public Health Management
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In order to understand the county to women who health, from history, familyhistory of disease, diet, medication living environment, social psychological factors andphysical examination, laboratory examination to find out the factors influencing theeugenic, health check risk assessment guidance hierarchy and Planning Committee toformulate pre pregnancy and according to the state, to give guidance and intervention,in order to improve the eugenic consciousness, reduce birth defects, improve the qualityof the newborn population.Methods1.the research object and methods: descriptive study, the use of the State FamilyPlanning Commission design project of national "health examination pre natal servicesFamily Archives", from2012to2013in our county within the scope of all rural towomen who are pregnant prenatal health examination.2.research contents:(1) basic information: couples age, culture degree, occupation,address, the marriage time.(2) general situation: the couple disease history, medicationhistory, history, family history, diet, living habits, environmental exposure history andsocial psychological factors.(3) physical examination: Department of internal medicine,surgery and reproductive system check.(4) clinical examination: Women leucorrhea,gonorrhea, chlamydia, blood and urine routine, blood type, blood glucose, liver andkidney function, five items of hepatitis B, syphilis, TSH, TORCH four, B ultrasound.Male blood, urine routine, liver and kidney function, five items of hepatitis B,Treponema pallidum. According to the result of comprehensive inspection manual "prepregnancy health examination risk assessment the State Family Planning Commissionenacted the" make a risk evaluation, and give the avoidance and intervention.3.data entry and statistical methods: using Epidata3.1to establish a database, SPSS17.0for statistical analysis.ResultThe study of random were sampled2835couples, effect of low risk factors prepregnancyhealth, common in the population, accounting for the total sample size of54.1%,high risk is7.4%.1.Men with low risk factors accounted for68.68%, mainly as follows:17.7%mensmoking and passive smoking drinking14.19%;17.06%males,14.87%of men havemild abnormal liver function ALT.2.Women with low risk factors accounted for45.99%of the population, mainly in11.54%reproductive tract infection, age>35years of age accounted for8.53%, mildanemia was5.77%, ALT was abnormal liver function5.06%, passive smoking amongwomen up to1.88%.3.The common factors of male liver function abnormal,3.4%, syphilis antibodypositive and hypertension grade II were0.32%and0.28%.4.Female high risk factors: liver function ALT severe abnormal people account for1.56%, adverse pregnancy outcomes was1.49%, syphilis antibody positive in0.85,other (TORCH, led a group of virus intrauterine T congenital infection of Toxoplasmagondii (Toxopasma) is R (Rubella.Virus), rubella virus, cytomegalovirus(Cytomegalo.Virus) is C H (Herpes.Virus), which is the herpes simplex type I/II). IgMinfection in0.32%, severe anemia in0.35%.5. of the proportion of high risk factors of my county rural pre pregnancy in apopulation of7.4%. The male is mainly: hepatitis, syphilis, hypertension. Women were:hepatitis, history of abnormal pregnancy, anemia, syphilis, TORCH infection and other.6pre pregnancy check normal couples, low risk and high risk couples couplepercentage were38.5%,54.1%and7.4%((P<0.05).ConclusionMen due to poor contact occupation exposure and life, and bad habits such assmoking, passive smoking, alcohol consumption is the main reason causing the high ratio of low risk factors influence. Because women in childbirth to assume moreresponsibility, so the high risk factors than men. Pay attention to low risk factors impacton the population: improve the eugenic consciousness, away from bad occupationexposure and life contact, get rid of the bad habits of life, women pay attention toreproductive system health, regular inspection. To guide and standardize the couples ofchild-bearing age examined before the physical and mental preparation, improve theinternal and external examination technology medical doctor.
Keywords/Search Tags:Be pregnant couples, The pre pregnancy examination, Riskassessment, Low risk, High-risk
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