Investigation and Analysis of Risk Factors of Spontaneous Abortion Related in Reproduction-needed Couples after the Earthquake_West China Medical Journal

Authors：

GAO Rong ¹ ,  LI Wenjuan ² , ZENG Deqiong ¹

1. Department of Gynaecology and Obstetrics, People′s Hospital of Dujiangyan, Dujiangyan, Sichuan 611830, P. R. China; 2. Department of Reproductive Endocrinology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LI Wenjuan, Email: gaorong_20111@126.com

Keywords：

自然流產; 地震; 危險因素

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【摘要】　目的　調查分析有家庭成員在汶川地震中傷亡的再生育夫婦自然流產的相關危險因素。　方法　通過回顧性問卷調查方式，2008年9月-2011年3月收集整理44對震后有自然流產的再生育夫婦基本資料和自然流產相關危險因素，分析該類人群震后自然流產危險因素特點。　結果　自然流產發生率占總妊娠比例的22.9%，11.1%的女性出現了震后月經改變，有人流史婦女與無人流史婦女震后月經改變率比較，差異無統計學意義（χ2=0.58，P gt;0.05）。　結論　震后女性易發生月經改變，地震后再生育夫婦的自然流產發生率顯著高于正常人群中的自然流產發生率，環境、高齡等因素可能是該人群自然流產高發的主要危險因素。
【Abstract】　Objective　 To explore the risk factors of spontaneous abortion related in reproduction-needed couples after the earthquake.　Methods　 Between September 2008 and March 2011, 44 pairs of reproduction-needed couples were investigated by retrospective questionnaire. The risk factors of spontaneous abortion were analyzed.　Results　 The spontaneous abortion rate was 22.9%; 11.1% females had the menstruation changes. The difference in the rate of the menstruation changes between the females had spontaneous abortion history and the ones didn′t had the history was not significant (χ2=0.58，P gt;0.05).　Conclusions　 The females after the earthquake may have menstruation changes; the spontaneous abortion rate in reproduction-needed couples after the earthquake is obviously higher than that in the normal couples. The risk factors may include the environment and the age.

Citation： GAO Rong,LI Wenjuan,ZENG Deqiong. Investigation and Analysis of Risk Factors of Spontaneous Abortion Related in Reproduction-needed Couples after the Earthquake. West China Medical Journal, 2011, 26(10): 1525-1527. doi: Copy

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1. 　Garcia-Enguidanos A, Calle ME, Valero J, et al. Risk factors in miscarriage: a review[J]. Eur J Obstet Gynecol Reprod Biol, 2002, 102(2): 111-119.
2. 　International Workshop on the Impact of the Enviornment on Reproductiue Health (1991: Copenhagen). Impact of the environment on reproductive health[J]. Prog Hum Reprod Res, 1991(20): 1-11.
3. 　Fukuda M, Fukuda K, Shimizu T, et al. Decline in sex ratio at birth after Kobe earthquake[J]. Hum Reprod, 1998, 13(8): 2321-2322.
4. 　Harville E, Xiong X, Buekens P. Disasters and perinatal health:a systematic review[J]. Obstet Gynecol Surv, 2010, 65(11): 713-728.
5. 　Liu S, Han J, Xiao D, et al. A report on the reproductive health of women after the massive 2008 Wenchuan earthquake[J]. Int J Gynaecol Obstet, 2010, 108(2): 161-164.
6. 　Cramer DW, Wise LA. The epidemiology of recurrent pregnancy loss[J]. Semin Reprod Med, 2000, 18(4): 331-339.
7. 　Arck P. Stress and embryo implantation[J]. J Gynecol Obstet Biol Reprod (Paris), 2004, 33(1 Pt 2): 40-42.
8. 　Andalib A, Rezaie A, Oreizy F, et al. A study on stress, depression and NK cytotoxic potential in women with recurrent spontaneous abortion[J]. Iran J Allergy Asthma Immunolm, 2006, 5(1): 9-16.
9. 　Rai R, Regan L. Recurrent miscarriage[J]. Lancet, 2006, 368(9535): 601-611.
10. 　Brier N. Anxiety after miscarriage: a review of the empirical literature and implications for clinical practice[J]. Birth, 2004, 31(2): 138-142.
11. 　Zorn B, Auger J, Velikonja V, et al. Psychological factors in male partners of infertile couples: relationship with semen quality and early miscarriage[J]. Intern J Androl, 2008, 31(6): 557-564.
12. 　Rasch V. Cigarette, alcohol, and caffeine consumption: risk factors for spontaneous abortion[J]. Acta Obstet Gynecol Scand, 2003, 82(2): 182-188.
13. 　Lejeune V. Recurrent spontaneous miscarriage: etiology, and management of subsequent pregnancies[J]. J Gynecol Obstet Biol Reprod (Paris), 2010, 39(Suppl 3): 11-16.

West China Medical Journal

Investigation and Analysis of Risk Factors of Spontaneous Abortion Related in Reproduction-needed Couples after the Earthquake

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