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目的:探讨不宜继续妊娠孕妇的管理模式及其结果,以提高对高风险孕妇的保健服务质量,进一步降低孕产妇和围生儿死亡率。方法:回顾性分析2009~2011年上海市各区县上报的110例不宜继续妊娠孕妇的相关管理资料,由社区卫生服务中心将有异常情况和体征的孕妇进行初筛,并及时转诊至二、三级助产医疗机构确诊,并密切随访至产后42天为止。结果:经过社区-妇幼保健所-医院全程、持续、联动的干预下,110例患者中有74.55%及时终止妊娠,25.45%在医生的监护下继续妊娠并顺利分娩。结论:上海市不宜继续妊娠孕妇的管理取得了一定的成效,建议进一步规范管理,以降低孕产妇和围产儿死亡率。
OBJECTIVE: To explore the mode of management and the results of pregnant women who are not suitable for further pregnancy, so as to improve the quality of health service for high-risk pregnant women and further reduce the maternal and perinatal mortality. Methods: A retrospective analysis was conducted on 110 cases reported by districts and counties in Shanghai from 2009 to 2011 that should not be continued for pregnant women. The community health service centers conducted screening of pregnant women with abnormalities and signs and timely referral to two, Three midwifery medical institutions were diagnosed and followed up to 42 days postpartum. Results: Through the community-maternal and child health-hospital-wide, continuous and intervening intervention, 74.55% of the 110 patients terminated the pregnancy in time and 25.45% of the 110 patients continued the pregnancy with the doctor's care and delivered successfully. Conclusion: Shanghai is not suitable to continue pregnant pregnant women management has achieved some success, it is recommended to further standardize management to reduce maternal and perinatal mortality.