广东省2014-2015年危重孕产妇监测结果分析

Monitoring results of critically ill pregnant women in Guangdong province during 2014 to 2015

目的分析广东省2014-2015年危重孕产妇监测结果,了解妊娠合并症及并发症发生的流行病学及影响因素,及时发现产科诊治及服务提供的薄弱环节,为广东省制定降低危重孕产妇病死率的干预措施提供科学依据。方法采用回顾性调查分析方法对2014-2015年广东省12家危重孕产妇监测医院产科入院,若妇产科未分开则为妇产科入院或分娩的孕产妇病例资料进行分析。由经培训的妇产科医生详细填写《孕产妇个案调查表》。结果共监测孕产妇109 715例,其中有与妊娠、分娩、产褥及流产相关的合并症或并发症病例50 203例,患病率为45.76%;危重孕产妇239例,发生率0.24%。结论危重监测工作便于掌握危重孕产妇发生的流行病学情况,有利于早发现、早治疗合并症和并发症,提高救治比例,减少危重孕产妇发生,从而达到预防孕产妇死亡的目的。

Objective To analyze the monitoring results of critically ill pregnant women in Guangdong province during 2014 to2015,understand the status and influence factors of pregnancy women complications,and find the weak link of obstetrics diagnosis and service providing,and in order to provide evidence for intervening measure of reducing pregnant women mortality in Guangdong Province. Methods The monitoring data of 12 maternal hospitals in Guangdong Province during 2014 to 2015 were retrospectively analyzed. Accoucheur who were trained completed the questionnaires of pregnancy women. Results The incidence of pregnancy complications among the 109715 pregnant women in Guangdong Province from 2014 to 2015 was 45. 76%,the incidence of serious maternal complications was 0. 24%. Conclusion Critically monitoring of pregnancy women can help to grasp the epidemiological situation of pregnancy complications,and it is conducive to diagnosis and treatment pregnancy complications early,which may reduce pregnancy with severe and the maternal mortality rate.