南通市基层高危妊娠干预模式的研究

Study on the intervention model of high-risk pregnancy in nantong grass-roots hospital

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 discuss how to strengthen the management and establish a system of intervention model of high-risk pregnancy in Nantong grass-roots hospital,reducing the maternal mortality. Methods：The pregnant women in 2006~2007 were taken as the control group and in 2008~2009 were taken as the intervention group,in order to observe the change in maternal mortality after the intervention. Results：The detection rates of high-risk pregnancy in 2006~2009 were more than 30%;In 2008 the pregnant woman mortality rate was 4.43/100 000 and 6.15/100 000 in 2009,which reached evaluation criteria of advanced city in maternal and child health in Jiangsu province. Conclusion：After the practice of intervention model of high-risk pregnancy in grass-roots hospital,the management of the pregnant women and floating population has been further normalization,and the maternal mortality has been further descent.