摘要
目的总结分析2007-2013年上海市青浦区危重孕产妇抢救病例,为加强高危孕产妇管理、进一步降低孕产妇死亡率提供依据。方法收集2007-2013年青浦区两家助产医院上报的危重孕产妇抢救病例并进行回顾性分析。结果 115例危重孕产妇抢救病例中,外地户籍孕产妇占90.43%;抢救成功率为97.39%;外地户籍孕产妇中低龄孕产妇、高龄孕产妇及孕次比例均高于本地户籍孕产妇,本地户籍孕产妇的规范产前检查率高于外地户籍孕产妇。危重孕产妇中,前3位病因为妊娠期高血压疾病(41.74%)、产科出血(33.04%)、异位妊娠(13.91%)。抢救以二级综合性医院为主,占54.78%。结论加强孕产妇保健管理,提高二级医院救治水平,发挥危重孕产妇抢救中心的优势,是降低孕产妇死亡率的重要措施。
Objective To summarize and analyze rescue of critically ill pregnant women in Qingpu District of Shanghai from 2007 to 2013, provide a basis for strengthening management of high-risk pregnant women and further reducing maternal mortality. Methods The critically ill pregnant women after rescue reported by two midwifery hospitals in Qingpu District of Shanghai from 2007 to 2013 were collected and analyzed retrospectively. Results Among 115 critically ill pregnant women, migrant pregnant women accounted for 90. 43% ; the suc- cessful rate of rescue was 97. 39% ; the proportions of young pregnant women, eider pregnant women, and gravidity among migrant women were higher than those among native pregnant women. The regular prenatal examination rate among native pregnant women was higher than that among migrant pregnant women. Among the critically ill pregnant women, the top three causes were hypertensive disorder complicating pregnancy （HDCP） （41.74%）, obstetric hemorrhage （33.04%）, and ectopic pregnancy （ 13.91% ） . The critically ill pregnant women were mainly rescued in the second-class comprehensive hospitals, accounting for 54. 78%. Conclusion Strengthening maternal health care management, improving the rescue level of the second-class hospitals, and giving play to the advantages of severe maternal rescue centers are important measures to reduce maternal mortality.
出处
《中国妇幼保健》
CAS
2016年第3期478-480,共3页
Maternal and Child Health Care of China
基金
上海市青浦区卫计委特色项目(wx2011-02)
关键词
危重孕产妇
抢救
流动人口
孕期保健
High-risk pregnant woman
Rescue
Migrant population
Antenatal care
