300例重度高危孕产妇的妊娠结局分析

Analysis of pregnancy outcomes in 300 cases of severe high risk pregnant and postnatal women

目的探讨强化高危孕产妇妊娠管理的有效护理措施。方法回顾性分析2009～2011年在我院分娩的300例重度高危孕产妇的妊娠结局。结果高危孕产妇发生率为47.27%,其中重度高危孕产妇300例,发生率为8.24%;正常孕产妇难产的比例为33.04%,一般高危孕产妇为51.48%,重度高危孕产妇高达69.67%,重度高危产妇与正常孕产妇的难产率比较有显著差异;正常孕产妇、一般高危孕产妇和重度高危孕产妇围产儿病死率分别为6.76‰、10.52‰和82.24‰,三者差异显著。结论进一步加强高危孕产妇妊娠管理,完善护理措施,对于控制妊娠危险因素、确保母婴平安具有重要意义。

Objective To discuss the effective nursing measures for the pregnancy management of severe high risk pregnant and postnatal women. Methods A retrospective analysis was made in the pregnancy outcomes of 300 cases of severe high risk pregnant and postnatal women who delivered in our hospital between 2009 and 2011. Results The incidence of high risk pregnant women was 47.27% ,in which the incidence of severe high risk pregnant women was 8.24%. The proportions of women with dystocia in normal pregnant ones,in high risk ones, and in severe high risk pregnant ones were 33.04% ,51.48% , and 69.67% , respectively. There was significant difference in the dystocia rate between severe high-risk pregnant women and the normal pregnant ones. The perinatal fetal mortality of the normal pregnant women,the high risk pregnant ones ,and the severe high risk pregnant ones was 6.76 %0,10.52%,and 82.24 %o respectively, and the difference among the three was significant. Conclusion It has great significance to further strengthen the pregnancy management of high risk pregnant women and improve the nursing measures in the controlling of pregnancy risk factors and making a safer pregnancy.