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目的:探讨加强南通市基层机关高危妊娠管理的方法,建立一套系统的高危妊娠干预模式,以降低孕产妇死亡率。方法:以南通市2006～2007年的孕妇作为对照组,以2008～2009年的孕妇作为干预组,观察采取一系列干预措施前后高危妊娠检出率和孕产妇死亡率的变化。结果:2006～2009年高危妊娠检出率分别为33.16%、34.76%、37.45%、39.50%,均大于30.00%;2008年孕产妇死亡率为4.43/10万,2009年孕产妇死亡率为6.15/10万,明显低于2007年的10.85/10万,达到了江苏省妇幼卫生先进市评估标准。结论:基层高危妊娠干预模式实施后,使基层孕产妇及流动人口的高危妊娠管理进一步规范化,孕产妇死亡率进一步降低。
Objective: To explore ways to strengthen the management of high-risk pregnancy in grass-roots organs in Nantong and to establish a systematic high-risk pregnancy intervention model to reduce maternal mortality. Methods: The pregnant women from 2006 to 2007 in Nantong City were used as the control group. The pregnant women from 2008 to 2009 were taken as intervention group. The detection rate of high-risk pregnancy and maternal mortality before and after taking a series of interventions were observed. Results: The detection rates of high-risk pregnancies from 2006 to 2009 were 33.16%, 34.76%, 37.45% and 39.50% respectively, all of which were above 30.00%. The maternal mortality rate in 2008 was 4.43 / lakh and the maternal mortality rate in 2009 was 6.15 / 100,000, significantly lower than 10.85 / 10 million in 2007, reached the advanced city of Jiangsu Province MCH assessment standards. Conclusion: After the implementation of the high-risk pregnancy intervention model at the grassroots level, the management of high-risk pregnancies at the grass-roots level and the floating population has been further standardized and the maternal mortality rate has been further reduced.