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目的:了解社区高危妊娠常见因素和探讨其社区管理对策,以提高社区高危妊娠管理水平。方法:回顾性分析2009年10月至2012年9月在本社区建立孕产妇系统管理保健手册的已分娩或终止妊娠孕产妇的围产期手册1096的资料。结果:高危妊娠485例(44.25%),建档时和孕中后期及产时的一般高危妊娠的前三位高危因素分别是致畸因素接触史、妊娠合并妇科肿瘤(<5 cm)、地中海贫血携带者和胎膜早破、胎儿窘迫、早产(>34周);建档时和孕中后期及产时的严重高危妊娠的前三位高危因素分别是异常产史、双胎妊娠、疤痕子宫和妊娠期糖尿病、羊水过少、胎位异常。结论:对社区高危妊娠因素进行早筛查、早诊断、早干预,可提高社区高危妊娠的管理能力。
OBJECTIVE: To understand the common factors of high risk pregnancy in community and explore its community management strategies to improve the management of high risk pregnancy in community. Methods: A retrospective analysis of information on the perinatal manual 1096 for pregnant women who have given birth or who have terminated their pregnancy was established in this community from October 2009 to September 2012 in the Community Manual for Maternal System Health Management. Results: The high risk pregnancy in 485 cases (44.25%), the first three risk factors of the high risk pregnancy at the time of file and in the second trimester and the time of birth were history of teratogenic factors exposure, gynecologic tumor with pregnancy (<5 cm), Mediterranean Anemia carriers and premature rupture of membranes, fetal distress, premature delivery (> 34 weeks); the first three risk factors for severe, at-risk pregnancies at the time of file establishment, mid- and post-trimester, and during labor were abnormal birth history, twin pregnancies, Uterine and gestational diabetes, oligohydramnios, abnormal fetal position. Conclusion: Early screening, early diagnosis and early intervention of high risk pregnancy in community can improve the management ability of high risk pregnancy in community.