| Threatened abortion is one of the most common clinical symptoms of women in pregnancy. With the improvement of economic level, the changes of lifestyle and the increase of psychological pressure, there is an upward trend in the incidence of threatened abortion, it has become a public health problem which has a serious impact on physical and mental health of women.Objectives Based on the questionnaire survey of the maternal who hospitalized in China-Japan Friendship Hospital Affiliated Jilin University in Jilin City, Changchun Province, through collecting the information about the incidence of threatened abortion in pregnant women, and the related influencing factors and neonatal health status, to understand the incidence of threatened abortion in our hospital, and to analyze the influence factors of threatened abortion and the affect of it on the birth and the health of neonatal. On the basis of this, it puts forward the related nursing measures, countermeasures and suggestions to prevent pregnant women from threatened abortion and in the process of pregnant with threatened abortion.Methods In this study, the maternal who hospitalized in China-Japan Friendship Hospital Affiliated Jilin University were recruited from November/2014 to May /2015.And do a survey about their social population psychology characteristics, reproductive history, prenatal care, pregnancy illness, the occurrence of threatened abortion, delivery, neonatal health and so on through the self-designed questionnaire. The SPSS 21.0 software was used to analyze the data which were checked and cleansed. Measurement data were described by mean and standard deviation, comparison among groups used the t test; attribute data were described by constituent ratio or rate, comparison among groups used the X2 test; and the influencing factors of threatened abortion were analyzed by single factor and multiple factor Logistics regression analysis.Results(1) This survey actually completed 222 cases of valid questionnaires; the effective rate was 94.87%. The incidence rate of threatened abortion of pregnant women was 21.17%, and the incidence of threatened abortion among different family per capita monthly income and marital status was statistically significant(P<0.05).(2) Single factor analysis showed that, for the social demography, maternal family per capita monthly income, marital status and the main residence type; for the motherhood and family history, times of pregnancy, history of abnormal pregnancy,history of spontaneous abortion, mother’s history of abnormal pregnancy; for the health care before pregnancy, being overweight or obese, suffering from diseases or gynecological diseases and using medicine before pregnant were associated with threatened abortion(P<0.10). Multivariate analysis showed that having history of spontaneous abortion, being overweight or obese pre pregnancy, with gynecological diseases before pregnancy, with disease within a year before pregnancy were the risk factors of threatened abortion(P < 0.05), OR(95%CI) was 3.609(1.414~9.210)、2.544(1.117~5.794)、3.321(1.503~7.338) and 3.145(1.338~7.393) respectively.(3) Pregnant women with threatened abortion were more prone to complications(P<0.05), and the possibility of premature delivery is higher than that of pregnant women without threatened abortion(P<0.05).(4) There were statistical significance in neonatal body length, body temperature and neonatal biparietal diameter differences between threatened abortion group and non threatened abortion group of pregnant women.Neonatal length, temperature and neonatal biparietal diameter of non threatened abortion group were higher(P < 0.05),the proportion of newborn with low birth weight of threatened abortion in pregnant women was higher than that of non threatened abortion(P < 0.05),the proportion of newborn with lower born 1 minute Apgar score of threatened abortion in pregnant women was higher than that of non threatened abortion(P < 0.05).Conclusion The incidence of threatened abortion of this survey was 21.17%, which was in accord with other regions at home and abroad. a lower level of family income per month, not in the state of marriage, lower educational level have more risk in facing threatened abortion. Having history of spontaneous abortion, being overweight or obese pre pregnancy, with gynecological diseases before pregnancy and with disease within a year before pregnancy were the risk factors of threatened abortion. The incidence rate of complications in the pregnant women who were attacked by threatened abortion may be higher, and the health of the newborn of theirs may be worse than that of the non threatened abortion. To take nursing intervention for pregnant women to prevent the occurrence of threatened abortion, to take special care for pregnant women who had threatened abortion and continued can reduce the incidence of complications and improve the health of newborns. |
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