| Objective:The purpose of this study was to understand the changes in the status of maternal delivery before and after the opening of the second-child policy in Changchun,and to provide a basis for further research on the factors affecting the maternal delivery status,and to provide interventions for the current problems of maternal status.Methods:A total of 17315 cases of all maternal cases admitted to a top three hospital in Changchun from January 2015 to November 2017 were collected for cross-sectional study.The study included general demographic characteristics of maternity,mode of delivery,and pregnancy outcomes.The database was built using Epidata 3.1 software,and the data analysis was performed using SPSS24.0 software.The measurement data were statistically described by mean±standard deviation;the description of the count data was composed of composition ratio;the single factor analysis was performed by?2 test and t test,P<0.05 was considered statistically significant.Result:1.2015-2017.The top three hospitals treated a total of 17315 women.Among them,from January 1 to November 31,2015,the total number of maternal women in the top three hospitals was 3,776,and the monthly average number of women was351.00±28.34.From January 1st to December 31st,2016,the total number of maternal women in the top three hospitals was 7,147,and the average monthly maternal number was 638.83±104.95.From January 1 to November 30,2017,the total number of maternal women was 6,392,and the monthly average number of women was625.91±40.23.2.Statistics on maternal delivery methods adopted by a top three hospital in Changchun in 2015.Among them,3115 cases?82.49%?of all maternal cesarean products in 2015,661 cases?17.52%?of natural births,<20 years old,50 cases of maternal cesarean section,accounting for 78.12%;20-25 years old,maternal cesarean section 323 cases,accounting for 77.09%;25 to 30 years old,1105 cases of cesarean section,accounting for 79.04%;?30 years old,1637 cases of women,accounting for86.39%.There was a statistically significant difference in the choice of delivery methods for women of all ages?P<0.05?.In 2016,5496 cases?76.90%?of cesarean section,1651 cases?23.10%?of natural delivery,51 cases of cesarean section in women<20 years old,accounting for78.12%;386 cases of cesarean section of women aged 20 to 25 years old,accounting for 62.26%;2,254 cases of cesarean section in women aged 26 to 30 years,accounting for 76.59%;2805 cases of women?30 years old,accounting for 79.71%.There was a statistically significant difference in the choice of delivery methods for women of all ages?P<0.05?.In 2017,5130 cases?80.26%?of cesarean section,1262 cases?19.74%?of natural delivery,35 cases of cesarean section of<20 years old,accounting for76.09%;358 cases of cesarean section of women aged 20 to 25 years old,accounting for 76.82%;1930 cases of cesarean section of women aged 25 to 30 years old,accounting for 76.31%;2805 cases of women?30 years old,accounting for 79.71%.There was a statistically significant difference in the choice of delivery methods for women of all ages?P<0.05?.3.From January 1st to December 31st,2015,there were 2461 high-risk maternity women in a top three hospital in Changchun City.The maximum number of high-risk women per month was 262,the lowest was 173,and the average monthly high-risk maternal number was 205.5±26.03.From January 1st to December 31st,2016,the number of high-risk women in a top three hospital in Changchun City was 4,119.The number of high-risk women per month was up to 409,the lowest was 238,and the average number of high-risk women per month was 344.25±50.98.From January 1st to November 30th,2017,there were 3,902 high-risk maternity women in a top three hospital in Changchun City.The number of high-risk women per month was up to 77,the lowest was 195,and the average monthly high-risk maternal number was330.18±55.55.4.From January 1st to December 31st,2015,there were 318 women with cesarean scar pregnancy in a top three hospital in Changchun City.The average number of women with cesarean section scar pregnancy was 26.5±7.29.From January1st to December 31st,2016,there were 684 women with cesarean scar pregnancy in a top three hospital in Changchun City,and the average number of maternal cesarean scar pregnancy was 57.00±20.45.From January 1,2017 to November 30,2017,829women with cesarean scar pregnancy,the average number of maternal cesarean scar pregnancy was 75.36±10.55.5.Among the pregnancy risks faced by the mother,the stillbirth rate of stillbirth,the low birth weight rate,the prevalence of obstetric hemorrhage,the prevalence of amniotic fluid embolism,and the prevalence of maternal anemia are not statistically significant before and after the full implementation of the second child policy..The prevalence of pregnancy complications/complication,the incidence of severe maternal outcomes,the prevalence of gestational diabetes,the incidence of critical maternal,and maternal mortality were statistically significant?P<0.05?.6.Among the fetal factors,there was no significant difference in the number of cases of macrosomia and the number of intrauterine distress in 2015-2017?P>0.05?.There were significant differences in the occurrence of fetal position abnormalities,the number of cases of placental abnormalities,the number of cases of abnormal labor,and the number of cases of dystocia?P<0.05?.Conclusion:1.Compared with 2015,the number of maternal women increased significantly in 2016 and 2017.2.The difference in maternal cesarean section rate between different age groups in 2015-2017 was statistically significant.When the age was greater than 20 years,the cesarean section rate increased with age.3.The prevalence of maternal complications increased and maternal mortality increased.4.The prevalence of maternal gestational diabetes increased in 2016 and 2017compared with 2015.5.In 2015-2017,the abnormal rate of fetal position,abnormal rate of placenta,abnormal rate of labor,and difficult labor rate have increased year by year. |
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