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| Analysis of delivery situation and hospitalization expenses related to birth policy of two-child puerpera. |
| Xu Mengqiu, Ding Liping. |
| Department of Medical Records and Statistics, Zhejiang Provincial People′s Hospital (People's Hospital of Hangzhou Medical College), Hangzhou 310014, China |
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Abstract Objective To analyze the delivery and hospitalization expenses of two-child puerpera in a hospital. Methods From February 2006 to August 2020, 2 474 puerpera were selected from the first page of inpatient medical records, and 4 948 research samples were formed. The basic situation of puerpera were described, as well as constituent ratios and rank of the major diagnoses. The t-test of two groups of independent samples was used to compare the age of delivery, length of stay and hospitalization expenses of women with vaginal delivery and cesarean section. The influence factors of hospitalization expense were screened with multivariate linear regression analysis. Results The year-on-year growth rate of two-child puerpera was 123.53% in 2014, 109.36% in 2016, and stabilized after 2016. The total number of vaginal delivery women (n1=2780) was higher than that of caesarean delivery women (n2=2168). The average age of delivery, average length of stay and average expenses of hospitalization of the vaginal delivery group were all lower than those of the caesarean delivery group, and the differences were statistically significant. In multivariate regression analysis of hospitalization expenses, age of delivery, delivery mode, policy of "single two-child", policy of "universal two-child", hospitalization days, comorbidities and complications entered into the regression equation (F=2926.669,P<0.001,R2=0.784). Conclusion The two-child policy has promoted the peak period of two-child births, which entered a stable period after 2016. The age of childbirth and the cost of hospitalization gradually increased, the age difference of childbirth increased, and the length of stay gradually decreased. In the vaginal delivery group, the proportion of spontaneous vertex delivery of women giving birth to the second child was lower than that of women giving birth to the first child, but the proportion of gestational diabetes was higher. In the cesarean delivery group, the first major diagnosis of women giving birth to the first child was selective caesarean birth, but the first major diagnosis of women giving birth to a second child was pregnancy with uterine scar. Age of delivery, delivery mode, two-child policy, length of stay ,comorbidities and complications were independent influence factors of hospitalization expenses.
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Received: 29 September 2020
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［1］陈瑛瑛，褚伯良，陈云燕．全面放开 “二孩” 政策前后湖州市妇幼保健院住院孕产妇分娩情况分析［J］．中国医院统计，2019，26(2)：115-118．
［2］金珈汐，仲莞，陈震宇，等．“全面二孩”政策开放后剖宫产指征变化情况及现状分析［J］．中国实验诊断学，2020，24(1)：64-67．
［3］解其贵,杨志勇,邢雅欣,等.二胎政策开放前后5706例剖宫产指征分析［J］.同济大学学报(医学版),2017,38(3):90-93.
［4］梁丽军,刘子先,霍梅亚.不同妊娠风险孕产妇住院费用结构分析［J］.中国卫生统计,2020,37(1):48-51.
［5］仲亚琴，肖静，许琼琼，等．宫颈癌患者住院费用的DRGs分组研究［J］．中华医院管理杂志，2017，33(10)：738-741．
［6］钟赋真,赵温,张颖,等.北京市海淀区剖宫产后再孕分娩情况分析［J］.中国妇幼保健,2019,34(13):2972-2975.
［7］刘海燕,刘学渊,唐瑶,等.二胎政策下的瘢痕子宫再次妊娠后阴道试产的安全性［J］.复旦学报(医学版),2019,46(4):472-477.
［8］张静,何琼,刘慧悦,等,某院2012—2015年产科住院病人疾病谱及剖宫产指征变化分析［J］.中国卫生统计,2017,34(4):602-603．
［9］吴毳.关于二胎政策后高龄产妇面临的临床问题调查分析［J］.中国保健营养,2019,29(26):256. |
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