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目的通过对3年高危妊娠资料分析,了解孕期监护管理水平,为制定干预措施提供依据。降低影响母婴健康的危险因素及孕产妇和围产儿死亡率。方法对辖区2008年10月至2010年9月高危妊娠患者的高危因素和构成比进行分析探讨。结果共有8 897例高危妊娠患者,发生率48.8%。高危因素前5位依次是:≥2次人工或自然流产史、糖尿病、年龄≥35岁、剖宫产史、妊娠晚期胎位不正。构成比变化趋势:流产史、妊娠期糖尿病、妊娠期合并贫血等内科疾病等高危因素有下降趋势,剖宫产史、胎位不正、体重≥85kg或≤40kg呈上升趋势。结论通过干预措施,及时筛选、追踪等规范管理,可控制孕产妇及围产儿死亡率。
Objective To analyze the data of 3-year high-risk pregnancy to understand the level of monitoring and management during pregnancy and provide the basis for making interventions. Reduce the risk factors affecting maternal and child health and maternal and perinatal mortality. Methods From October 2008 to September 2010, the risk factors and the proportions of patients at high risk of pregnancy were analyzed. Results A total of 8 897 cases of high-risk pregnancy, the incidence of 48.8%. The top five risk factors are: ≥2 times of artificial or spontaneous abortion, diabetes, age ≥35 years old, history of cesarean section, fetal malformations in late pregnancy. The change trend of constituent ratio: The risk factors of abortion history, gestational diabetes, pregnancy complicated with anemia and other medical diseases had a declining trend. The history of cesarean section, malposition of fetus, body weight ≥85kg or ≤40kg showed an increasing trend. Conclusion Through the intervention measures, timely screening, tracking and other standardized management, can control maternal and perinatal mortality.