高危妊娠产妇高危因素分析与治疗

Analysis of the High-risk Factors of High-risk Pregnancy and the Corresponding Treatment

目的分析高位妊娠产妇危险因素及其临床治疗措施,以确保孕妇与围生儿的生命安全。方法回顾性随机选取2014年1月—2015年6月该院收治的320例高危妊娠产妇为研究对象,将其设为观察组,同期选取320例正常产妇设为对照组,对比并分析两组产妇的引导助产分娩率、胎儿死亡率、剖宫产率。结果观察组阴道助产分娩率、剖宫产率、胎儿死亡率分别为9.06%(29/320)、58.13%(186/320)、8.13%(26/320),对照组阴道助产分娩率、剖宫产率、胎儿死亡率分别为3.44%(11/320)、30.63%(98/320)、1.56%(5/320),组间对比差异有统计学意义(P<0.05)。与对照组相比,观察组高危妊娠产妇的危险因素为胎位异常、胎儿巨大、过期妊娠、早产、胎膜早破、胎儿窘迫、人工流产>3次、贫血等。结论妊娠期加强孕前健康教育,加强高危产妇危险因素监控,对提高产妇及围生儿生命安全,减少高位妊娠发生率具有重要作用。

Objective To analyze the risk factors of high-risk pregnancy and the corresponding clinical treatment in order to ensure the safety of pregnant women and the perinatal infants. Methods 320 puerperants with high-risk pregnancy admitted in our hospital from January 2014 to June 2015 were selected as the subjects of observation group. And other 320 normal puerperants were selected as the control group. The rate of delivery with midwifery guide, fetal mortality and cesarean section rate of the two groups were compared and analyzed. Results The assisted vaginal delivery rate, cesarean section rate, fetal mortality was 9.06%（29/320）, 58.13%（186/320）, 8.13%（26/320）, respectively in the observation group, and3.44%（11/320）, 30.63%（98/320）, 1.56%（5/320）, respectively in the control group with statistically significant differences between the two groups（P〈0.05）. Compared with the control group, the risk factors of the observation group were abnormal fetal position, macrosomia, prolonged pregnancy, preterm birth, premature rupture of fetal membranes, fetal distress, more than 3 times of abortion, anemia and so on. Conclusion Strengthening the pre-pregnancy health education and monitoring of the risk factors of high-risk puerperants during pregnancy are of great significance in improving the maternal-neonatal safety and reducing the incidence of high-risk pregnancy.