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目的:加强高危妊娠管理,评价高危妊娠管理效果,降低孕产妇和围产儿死亡率。方法:对2004年10月1日~2006年9月30日我院高危门诊产前检查筛出的2017例高危妊娠孕产妇进行回顾性分析。结果:2年来,孕产妇总数为12837例,无孕产妇死亡发生;高危孕产妇为2017例,高危发生率15.71,固定高危因素934例,占46.31;动态高危因素1083例,占53.69;高危妊娠转归率为35.25,动态高危妊娠转归率为65.65;前3位高危因素分别是瘢痕子宫、不良孕产史、胎位异常。结论:广泛宣传围产期保健知识,提高群众自我保健的能力,政府增加投入,严格执行剖宫产指征,降低剖宫产率。
OBJECTIVE: To strengthen management of high-risk pregnancies, evaluate management of high-risk pregnancies, and reduce maternal and perinatal mortality. Methods: A retrospective analysis was made on 2017 high risk pregnant women who were screened out from prenatal screening in our hospital from October 1, 2004 to September 30, 2006. Results: In the past two years, the total number of pregnant women was 12,837, and no maternal death occurred. The number of high-risk pregnant women was 2017, the high-risk pregnancy rate was 15.71, and the number of high-risk women was 934 (46.31). The dynamic high risk factors were 1083 (53.69) The outcome rate was 35.25, and the rate of dynamic high-risk pregnancy was 65.65. The first three risk factors were scar uterus, poor pregnancy history and abnormal fetal position. CONCLUSION: The knowledge of perinatal health is widely publicized and the people’s self-care ability enhanced. The government increased investment, strictly implemented cesarean section indications, and reduced cesarean section rate.