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目的:了解《妊娠风险预警评估管理》方法对预防和控制高危孕妇的产时风险与降低孕、产妇及围产儿死亡率的效果。方法:采用上海市《妊娠风险预警评估管理》的方法对社区妊娠妇女进行风险预警评估,重点孕妇的转诊和分类重点管理。结果:2010年黄浦区3 308例社区妊娠孕妇风险预警评估结果按颜色显示,黄色为10.852%,红色为0.060%,橙色为0.695%,紫色为0.121%;实施妊娠风险预警评估管理方法后,危重孕妇抢救成功率提高2.70%,围产儿死亡率下降1.96‰;结论:在社区实施妊娠孕妇风险预警评估管理方法,对提高孕妇管理水平起到了较好的作用。
OBJECTIVE: To understand the effect of the “Risk Management of Pregnancy Risk Assessment” on the prevention and control of at-risk and the reduction of maternal and perinatal mortality in high-risk pregnant women. Methods: The method of early warning and assessment of pregnancy risk management in Shanghai was used to assess the risks of pregnant women in the community and focus on the referral and classification of pregnant women. Results: According to the color, the risk early warning assessment results of 3 308 pregnant women in community in Huangpu District were 10.852% in yellow, 0.060% in red, 0.695% in orange and 0.121% in purple. After implementing the risk early warning assessment and management of pregnancy, The success rate of pregnant women rescue increased 2.70%, the perinatal mortality rate decreased 1.96 ‰; Conclusion: The implementation of pregnant women in the community early warning risk assessment management approach to improve the management of pregnant women played a good role.