摘要
目的了解本城区高危妊娠因素变化趋势,为加强高危妊娠管理,有效地降低孕产妇和围产儿死亡率而提出相关干预措施。方法按广东省肇庆市高危妊娠评分标准,回顾分析了2008年1月-2012年12月进行产前检查及住院分娩的孕产妇,从中筛查出高危妊娠6708例进行统计分析。结果 5年间本院高危妊娠发生率平均为38.53%,并且高危妊娠发生率和重度高危发生率呈逐年下降趋势,前5位高危单因素分别是胎儿宫内窘迫、胎膜早破、疤痕子宫、早产和年龄≤18岁或≥35岁。结论做好高危妊娠的筛查和管理工作,是降低孕产妇和围产儿死亡最根本的干预措施,也是确保母婴安全,减少不良结局的重要手段。
Objective To understand the change in trend of the high-risk pregnancy factors in this city, and propose some intervention measures for strengthening the high-risk pregnancy management and reducing the maternal and perinatal mortality effectively. Methods We reviewed and studied the maternal whose prenatal examination and hospital delivery was in the hospital from January 2008 to December 2012 using the score criterion of high-risk pregnancy in Zhaoqing city, and 6708 cases were analyzed. Results The high-risk pregnancy rate was 38.53%on average in the hospital in five years and it has the downward trend of the incidence of high-risk pregnancy and the incidence of severe high-risk year by year. The top five single high risk factors are fetal distress, premature rupture of membranes, scar uterus, premature birth and aged 18 years or over 35 years old. Conclusion It’s the most fundamental intervention measures to reduce maternal and perinatal death that do well to screen and manage the high-risk pregnancy, and it is also the important method to ensure maternal and child safety and reduce the adverse outcomes.
出处
《当代医学》
2014年第3期4-6,共3页
Contemporary Medicine
关键词
高危妊娠
高危因素
管理
结局
干预措施
High-risk pregnancy
High risk factors
Management
Outcomes
Intervention measures
