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目的分析浦东新区外来人口妊娠高风险预警情况,为政府制定相关政策提供科学依据。方法将2013年4月—2014年3月期间浦东新区纳入重点孕妇管理系统的1162名妊娠高风险预警孕妇分本市户籍与外地户籍两组对比,从年龄、预警发现孕周、产次、随访管理次数及高风险预警发生类别构成比等方面进行分析。结果两组孕妇在预警发现孕周及产次上存在显著差异((2分别为45.55和37.97,P<0.001);两组孕妇的高风险预警类别构成比差异有统计学意义(χ~2=19.60,P<0.05);年龄及随访管理次数统计学上无差异(χ2分别为4.08,5.26,P>0.05)。结论 1提高流动孕产妇早孕建卡率有助于提早发现妊娠风险;注重外地经产妇围产期保健,有利于降低危重发病率。2建立孕前筛查评估机制,建立健康档案,加强地区合作,实行动态追踪管理以减少外来人口高风险妊娠的发生。
Objective To analyze the early warning of high risk of pregnancy among migrant population in Pudong New Area and provide a scientific basis for the government to formulate relevant policies. Methods The 1162 high risk pregnant women with pregnancy in Pudong New Area were included in the key pregnant women management system during the period from April 2013 to March 2014. The difference between the registered permanent residence and registered permanent residence in the two cities was based on age and early warning, gestational age, parity and follow-up Management frequency and early warning category of high risk composition ratio analysis. Results There were significant differences in gestational age and parity in the two groups of pregnant women (45.55 and 37.97 respectively, P <0.001). There were significant differences in the composition of high-risk warning groups between the two groups (χ ~ 2 = 19.60, P <0.05). There was no statistically significant difference in age and management of follow-up (χ2 = 4.08,5.26, P> 0.05) .Conclusion1 Improving the rate of early pregnancy carding in mobile pregnant women can help to detect the risk of pregnancy earlier. Maternal perinatal care is conducive to reduce the critical incidence rate.2 The establishment of pre-pregnancy screening assessment mechanism, the establishment of health records, strengthen regional cooperation, the implementation of dynamic tracking management to reduce the incidence of high-risk pregnancy outside the population.