Health examination results of pre-pregnancy eugenics of couples of childbearing age in Hainan, 2017–2018

Abstract

Objective Through the analysis of the results of pre-pregnancy eugenics health checkups in Hainan Province in 2017-2018, we can understand the health status of pregnant couples in the province and strengthen interventions in a targeted manner.

Methods A summary of the results of 160 152 planned pregnancy couples who participated in the free pre­pregnancy eugenics health check in Hainan Province from 2017 to 2018.

Results From January 2017 to December 2018, a total of 160 152 people participated in the examination, with 80 033 men and 80 119 women. Among them, women aged ≥35 years accounted for 19.93%, and men aged ≥40 years old accounted for 13.44%; medical history query results showed that the abnormal rate of medical history was 20.33%; physical examination results showed that the abnormal rate of routine physical examination and reproductive system examination were 27.25% and 4.32%; laboratory results showed that the top three abnormalities in female examination items were blood routine, vaginal discharge routine and thyroid function test, and the abnormal rates were 50.85%, 21.84% and 9.39%, respectively; the top three abnormalities in the examination items in both gender were the five tests of hepatitis B serology, liver function tests and urine routine, and the abnormal rates were 17.39%, 14.73% and 11.34%, respectively. The results of female TORCH test showed that the positive rates of IgM antibodies in cytomegalovirus and Toxoplasma were 0.11% and 0.15%, respectively, indicating that some pregnant women had recent acute infections. The final assessment showed that there were 16 801 people at risk, accounting for 10.49%, and more women than men.

Conclusion Pre-pregnancy health checkups for pregnant couples are of great significance for eugenics, and publicity should be strengthened to encourage active couples to participate actively. For the risk groups screened, the targeted health guidance is provided, and preventive measures are taken to reduce the occurrence of adverse pregnancy and improve the quality of the birth population.

Abstract

摘要： 目的 通过对2017—2018年海南省育龄夫妇孕前优生健康检查结果分析，了解本省备孕夫妇的健康状况，从而有针对性地加强干预措施。 方法对2017—2018年海南省参与免费孕前优生健康检查的160 152例计划妊娠夫妇检查结果进行总结分析。 结果2017年1月一2018年12月，共有160 152人参与检查，男性80 033人，女性80 119人。其中年龄≥35岁的女性占19.93%，年龄≥40岁的男性占13.44%;病史询问结果表明，病史异常率为20.33%;体格检查结果显示，常规体格检查和生殖系统检查异常率分别为27.25%和4.32%;实验室检查结果显示，女性检查项目异常率排在前三位的分别是血常规、白带常规和甲状腺功能检测，异常率分别为50.85%、21.84%和9.39%;男女双方共同检查项目异常率排在前三位的分别是乙型肝炎血清学五项检测、肝功能检测和尿常规，异常率分别为17.39%、14.73%和11.34%。女性TORCH检测结果显示，巨细胞病毒和弓形体的IgM抗体阳性率分别为0.11%和0.15%，说明有部分备孕妇女近期发生急性感染。最后评估显示，具有风险的有16 801人，占10.49%，女性多于男性。 结论备孕夫妇的孕前健康检查对于优生意义重大，应加强宣传鼓励备孕夫妇积极参与。对于筛检出的风险人群应有针对性地对其进行健康指导，通过预防措施减少不良妊娠的发生，提高出生人口素质。