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目的探讨产前检查对高危妊娠的重要性,加强孕期保健,减少高危产妇母婴并发症及降低死亡率。方法回顾分析2009年4月—2010年3月在我院住院分娩的2000例孕产妇资料,选择其中高危妊娠患者200例(无产前检查)作为病例组。并选取无高危因素,无妊娠合并症及并发症的正常健康孕妇200例(产前检查次数≥5次)作为对照组,比较两组的围产期母婴情况。结果对照组妊高症、妊娠期贫血、产后出血、早产及过期妊娠、早产儿、新生儿窒息、低体重、先天畸形发生率均比病例组明显降低。有显著差异(P<0.05)。结论产前检查是孕产妇系统保健中一项非常重要的措施,而高危妊娠系统检测是产前检查的核心内容,其目的不只是降低孕产妇死亡率和围产儿死亡率,还要减少伤残儿出生,提高人口健康素质。
Objective To explore the importance of prenatal examination for high-risk pregnancies, to strengthen the health care during pregnancy, reduce maternal and infant complications and reduce mortality in high-risk maternal women. Methods The data of 2000 pregnant women who were hospitalized and delivered in our hospital from April 2009 to March 2010 were retrospectively analyzed. 200 cases of high risk pregnancy (no prenatal examination) were selected as the case group. 200 healthy pregnant women without risk factors of pregnancy, complications and complications of pregnancy were selected as the control group. The maternal and neonatal conditions were compared between the two groups. Results In the control group, the incidence of pregnancy induced hypertension, pregnancy anemia, postpartum hemorrhage, premature delivery and overdue pregnancy, premature infant, neonatal asphyxia, low birth weight and congenital malformations were significantly lower than those in the case group. There was a significant difference (P <0.05). Conclusion Prenatal care is a very important measure in the system of maternal health care. The detection of high-risk pregnancy system is the core of prenatal care. Its purpose is not only to reduce the maternal and perinatal mortality but also reduce the disability Children born, improve the health quality of the population.