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目的：对于我县县直医疗机构产科近年来的工作进行梳理，探寻对于孕产妇进行管理中的重点，总结并分析高危妊娠的成因，从而采取更为有效地治疗方法和护理模式提高产科的医疗护理治疗，最大程度的控制孕产妇的死亡率。方法：对我县妇幼保健院和县人民医院2012年1月至2014年1月2年间收治的1972例孕产妇中的840例高危妊娠病例进行分析和统计，以便能够了解其病情发生的原因和最后的治疗结果。结果：通过相应的统计数据进行分析，可以看出，孕妇的年龄、妊娠次数和产前检查次数都会对高危妊娠的发病率造成一定的影响。结论：产前检查可以极大控制孕产妇的死亡率，而开展相应的孕产妇系统管理和提倡住院分娩可以极大的改变高危妊娠的结局，对于降低孕产妇死亡率和围产儿死亡率也有着极为重要的作用。“,”Objective :to sort out for our department in recent years work ,seek for maternal key management ,causes to summarize and analyze the cases of obstetric ,so as to take more effective methods of treatment and nursing mode to improve medical care for obstetrics ,maternal mortality in the greatest degree of control .Methods :in our hospital from 2012 January to 2014 January 841 cases of obstetric and 1967 pregnant women who were treated between 2 in the analysis and statistics in detail ,in order to understand the reasons for its occurrence and final treatment outcome .Results :through the relevant statis-tical data analysis ,we can see ,maternal age ,number of pregnancies and the frequency of prenatal examination will be on the incidence rate of pathological obstetrics caused certain effect .Conclusion:prenatal screening can greatly control the maternal mortality ,and to carry out the maternal system management and the corresponding advocating hospital delivery can not only greatly reduce the occurrence of pathological obstetrics ,and to reduce the maternal mortality rate also has a very important role in promoting .