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目的进一步识别高危妊娠的高危因素,为提高孕产妇质量管理、加强高危妊娠的安全监测、控制产妇及围生儿的病死率提供依据。方法依据新疆维吾尔自治区卫生厅妇幼保健与社区卫生处、新疆维吾尔自治区妇幼保健中心制定的《高危孕产妇评分标准》,调查2012年10月至2013年9月在沙湾县定点医疗机构进行产前检查、筛查高危妊娠,由单独人员对孕产妇进行资料统计及随访,每月上报数据。结果高危产妇占总产妇比例为26.87%,全部入院分娩,分娩率为100.00%;无孕产妇死亡事件发生(0.00/10万),无围生儿死亡事件发生(0‰)。结论强化高危产妇妊娠过程中的健康及保健意识,定期进行产前检查,早期发现并控制妊娠并发症,减少妊娠期合并症,确保良好分娩结局,保障母婴安全和健康。
Objective To further identify the risk factors of high-risk pregnancy, to provide basis for improving the quality control of pregnant women, strengthening the safety monitoring of high-risk pregnancy and controlling the mortality rate of maternal and perinatal children. Methods According to the “High-risk Maternal Grading Standard” set up by the Maternal and Child Health and Community Health Department of Health Department of Public Health Bureau of Xinjiang Uygur Autonomous Region and the Maternal and Child Health Center of Xinjiang Uygur Autonomous Region, from October 2012 to September 2013, Inspection, screening for high-risk pregnancies, maternal statistics by a single staff and follow-up, monthly data. Results The proportion of high-risk mothers in total maternal was 26.87%. All of them were admitted to hospital for delivery. The rate of childbirth was 100.00%. No maternal deaths occurred (0.00 / 100,000) and no perinatal deaths occurred (0 ‰). Conclusions Strengthen the awareness of health and health care among high-risk pregnant women during pregnancy, conduct regular antenatal examination, early detection and control of pregnancy complications, reduce complications during pregnancy, ensure good delivery outcomes and ensure the safety and health of mothers and babies.