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目的:针对上海市嘉定区半年内在区内接产医院分娩1910例重点孕产妇的情况进行分析。方法:对2010年5月1日～10月31日在上海市嘉定区内住院分娩的1 910例重点孕妇的情况进行回顾性分析,了解上海市籍人口及外来常住人口与流动人口的重点孕妇发生率的差别,不同风险类别的重点因素顺位排序,不同风险类别重点孕妇的危重发生率,围产儿死亡率,新生儿疾病发生率,分娩方式的差别,探求原因,为今后如何降低重点孕妇的发生,以及如何对重点孕妇的管理起指导作用。结果采用χ2检验进行分析。结果:流动人口的重点孕妇发生率高于上海市籍人口及外来常住人口的发生率,两组间存在统计学差异(P=0.008 1),两组间不同风险类别也存在统计学差异(P=0.001)。不同风险类别的重点孕妇之间的围产儿死亡率、分娩方式无统计学差异(P>0.05)。不同风险类别的重点孕妇之间新生儿疾病发生率、危重孕产妇发生率存在差异,随风险等级升高,发生率随之升高(P<0.05)。结论:加强孕产妇的管理,特别是对有危险因素的重点孕妇的系统管理是降低孕产妇死亡率和围产儿死亡率的关键环节。
Objective: To analyze the situation of 1910 pregnant women who gave birth during the six months in Jiading district of Shanghai. Methods: A retrospective analysis of 1 910 cases of pregnant women who were hospitalized in Jiading district of Shanghai from May 1, 2010 to October 31, 2010 was conducted to understand the key pregnant women with permanent resident population and floating population in Shanghai city. The incidence of different priorities, different risk categories, the order of priority factors, different risk categories of key pregnant women, the critical incidence, perinatal mortality, neonatal morbidity, differences in mode of delivery, to explore the reasons for the future how to reduce the focus of pregnant women The occurrence and how to guide the management of key pregnant women. The results were analyzed using the χ2 test. Results: The incidence of pregnant women who were the key pregnant women in floating population was higher than that of Shanghai natives and permanent resident population (P = 0.008 1). There were also significant differences in risk categories between the two groups (P = 0.001). There was no significant difference in perinatal mortality and delivery mode between pregnant women of different risk groups (P> 0.05). The prevalence of neonatal diseases and critical maternal incidence among pregnant women of different risk categories were different, with the risk grade increasing, the incidence increased (P <0.05). Conclusion: Strengthening maternal management, especially for pregnant women with key risk factors, is a key link in reducing maternal and perinatal mortality.