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[目的]为了加强高危妊娠的管理,提高产科质量,降低孕产妇和围产儿死亡率确保母婴安全。[方法]采用江苏省统一评分标准,使用统一的《高危妊娠管理》中的高危妊娠评分标准,收集常州市2006年10月～2007年9月发生的7301例高危孕妇的高危情况进行统计分析。[结果]孕产妇总数19850例,高危孕产妇7301例,发生率为36.78%倐。其中城市孕妇发生率为30.43%倐;农村孕妇发生率为38.51%倐。高危因素前五位是胎位异常、不良孕产史、头盆不称、胎儿宫内窘迫、胎盘羊水因素。[结论]做好高危妊娠监护管理是提高产科质量,降低孕产妇、围产儿和新生儿死亡率的有效措施。
[Purpose] In order to strengthen the management of high-risk pregnancy, improve the quality of obstetrics, reduce maternal and perinatal mortality and ensure mother-child safety. [Methods] With the unified scoring standard of Jiangsu Province and using the standard of high-risk pregnancy in the unified management of high-risk pregnancy, we collected the statistical analysis of the high-risk cases of 7301 high-risk pregnant women in Changzhou from October 2006 to September 2007. [Results] The total number of pregnant women was 19850 and the number of high-risk pregnant women was 7301, the incidence rate was 36.78%. Incidence of pregnant women in urban areas was 30.43% 倐; the incidence of pregnant women in rural areas was 38.51% 倐. The top five risk factors are abnormal fetal position, poor history of maternal history, cephalopelvic disproportion, fetal distress, placental amniotic fluid factors. [Conclusion] Improving the monitoring and management of high-risk pregnancy is an effective measure to improve the quality of obstetrics and reduce the maternal, perinatal and neonatal mortality rates.