农村孕产妇高危妊娠管理的调查分析

Correlation factors analysis on high-risk pregnancy management in rural area

目的研究农村高危孕产妇管理存在问题并提出解决方案,以提高高危孕产妇的管理质量,降低高危孕产妇的围产期风险和孕产妇死亡率。方法对我市2011年1月~2014年12月全市的农村高危孕产妇进行回顾性总结,并进行统计学分析,将所得数据与城市进行比较分析。结果 2011年1月~2014年12月农村高危孕产妇产前检查率呈逐年上升趋势;农村孕产妇高危妊娠死亡率为29.24/10万、17.37/10万、15.46/10万、14.78/10万,两个阶段比较高危妊娠检出率呈上升趋势,农村孕产妇死亡率呈下降趋势,且差异显著。结论加大高危孕产妇的管理力度,促进农村高危孕产妇管理质量的提升,有助于降低孕产妇死亡率。

Objective To explore the problems in high-risk pregnancy management in rural area and to propose solutions, aiming at improving the quality of high-risk pregnancy management in rural area and reducing the perinatal period risk and mortality rate of high-risk pregnant and lying-in women. Methods High-risk pregnant women in rural area in our city from January 2011 to December 2014 were reviewed and analyzed by SPSS. The data obtained were compared with those in the urban area. The influence factors on high-risk pregnancy were analyzed. Results The management rates of high-risk pregnant and lying-in women in rural area from January2011 to December 2014 were increased. The screening rate of high-risk pregnancy showed a escalating trend year by year. The maternal mortality rates in rural area were 29.24, 17.37, 15.46, and 14.78 per 100,000. The detection rate of high-risk pregnancy was increasing while the maternal mortality rate was reducing in rural area,both with significant differences. Conclusion Strengthened management of high-risk pregnancy can improve the quality of management and reduce the maternal mortality rate in high-risk pregnancy in rural area.