上海市浦东新区危重孕产妇抢救情况分析

Analyzing Status of Rescuing Critically Ill Pregnant Women in Pudong New Area of Shanghai

目的总结分析危重孕产妇抢救病例,为加强高危孕产妇管理,进一步降低孕产妇死亡率提供依据。方法对2012年浦东新区各级医疗机构上报至浦东新区妇幼保健所的162例危重孕产妇抢救病例进行回顾性分析。结果危重孕产妇抢救成功率为98.77%,规范上报率为96.30%,子宫切除率为5.56%。国产儿存活率为63.60%。危重孕产妇中,77.16%为外地户籍。前4位病因为产科出血(36.42%)、血液系统疾病(16.05%)、心脏病(15.43%)和高血压疾病(13.58%)。抢救以在三级综合医院为主,占60.50%。结论重视孕产妇的保健管理,提高各级医疗机构救治水平,发挥危重孕产妇抢救中心的优势,是降低孕产妇死亡率的重要措施。

OBJECTIVE To summarize and analyze the critical maternal rescue cases, in order to provide evidences for strengthening the management of high risk pregnant womenand further reduce the maternal mortality rate. METHODS 162 cases of severe maternal rescue were reported by all levels of medical institutions in Pudong New Area in 2012 to the Pudong New Area maternal and child health care were analyzed retrospectively. RESULTS Severe maternal rescue success rate was 98.77%, standard reporting rate was 96.30%, uterine resection rate was 5.56%, perinatal survival rate was 63.60%. 77.16% critical pregnant women was in the field of household registration. The top 4 diseases causes were obstetric hemorrhage （36.42%）, blood system disease （16.05%）, heart disease （15.43%） were hypertension（13.58%）. The rescuerate in three general hospitals was 60.50%. CONCLUSION Payingattention to maternal health management, improving the treatment levels of medical institutions and exploiting the advantages of maternal rescue centers are important aspects of reducing maternal mortality.