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目的:对高位妊娠的临床资料进行回顾性分析,提高对高位妊娠孕期的监护和管理,降低威胁母婴健康的危险因素以及孕产妇和围产儿的病死率。方法:选取2010年5月至2012年5月来我院门诊产前筛查检出为高危妊娠并专案管理的396例孕妇作为研究对象,对其临床病例进行了回顾性分析。结果:威胁产妇的高危因素前三位分别为胎位异常、瘢痕子宫、不良孕产史。其中,动态高危因素占%,固定高危因素占%。396例高危妊娠孕产妇中例顺产,例剖宫产,助产。结论:加强高危妊娠管理力度,做到尽早发现、检测、管理、处理高危因素是降低孕产妇和围产儿病死率的重要方法。
OBJECTIVE: To retrospectively analyze the clinical data of high gestation, to improve the guardianship and management of high gestation gestation, to reduce the risk factors that threaten the health of maternal and infant, as well as the maternal and perinatal mortality. Methods: From May 2010 to May 2012, 396 pregnant women, who were enrolled in prenatal screening in our hospital for prenatal screening and were involved in the management of high-risk pregnancies, were selected as the study subjects. The clinical cases were retrospectively analyzed. Results: The top three risk factors for maternal women were abnormal fetal position, uterine scar and poor pregnancy history. Among them, the dynamic risk factors accounted for%, fixed high-risk factors accounted for%. 396 cases of high-risk pregnant women in the case of cesarean section, cesarean section, midwifery. Conclusion: To strengthen the management of high-risk pregnancies so that early detection, detection, management and treatment of high-risk factors are important ways to reduce maternal and perinatal mortality.