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目的:分析高危妊娠的高危因素,加强高危妊娠的监护管理,提高孕产妇系统管理质量,为降低孕产妇和围产儿死亡率制定对策提供依据。方法:按照江门市高危评分标准,调查2007年在江门市妇幼保健院产前检查的孕妇,筛查高危妊娠,统一造册,定期随访管理。结果:筛查出的高危妊娠发生率为24.6%,排在前五位的高危因素是母儿血型不合、疤痕子宫、孕妇本身遗传病、年龄≥35岁、骨盆狭小或畸形,高危因素主要集中在孕妇本人基本情况方面,而内外科合并症则较少。高危妊娠者选择剖宫产终止妊娠比例较高。经严密跟踪随访管理,高危妊娠发生产时并发症率不高。结论:加强高危妊娠管理,有效保证母婴健康,努力提高自然分娩率,提高妇女生殖健康水平。
OBJECTIVE: To analyze the risk factors of high-risk pregnancy, strengthen the care management of high-risk pregnancy and improve the quality of maternal system management so as to provide basis for countermeasures to reduce maternal and perinatal mortality. Methods: According to the high risk score of Jiangmen City, we investigated the pregnant women who were prenaged for examination in Jiangmen MCH in 2007, screened the pregnant women at risk, unified the books, and followed up regularly. Results: The incidence of high-risk pregnancies was 24.6%. The top 5 risk factors were maternal and child blood type incompatibility, scar uterus, pregnant women themselves, age 35 years or older, pelvic small or deformity, high risk factors In the basic situation of pregnant women, but less surgical complications. High-risk pregnancies choose a higher proportion of cesarean section termination of pregnancy. After closely tracking follow-up management, high-risk pregnancy occurs when the complication rate is not high. Conclusion: To strengthen the management of high-risk pregnancy, effectively ensure the health of mothers and infants, strive to improve the rate of natural childbirth and improve the reproductive health of women.