二孩政策下某妇产医院高危妊娠情况分析

Analysis on high-risk pregnancy under “two-child policy” in a maternal hospital

目的了解二孩政策下高危妊娠状况,在当前产科资源缺乏的形势下,为高危孕产妇的管理提供参考依据。方法利用描述性统计、方差分析和χ2检验,对2015-2016年广东省妇幼信息系统导出的产检数据进行高危妊娠情况分析。结果 2016年总高危孕产妇发生率为39.15%,比2015年(25.16%)同比增加14个百分点,其中严重高危孕产妇发生率为30.67%,一般高危孕产妇发生率为8.48%。在孕期分布上,主要集中在孕中期。2016年排在前三位的严重高危因素分别是:疤痕子宫、不良孕产史、多胎妊娠;排在前三位的一般高危因素分别是:年龄<18岁或≥35岁、胚胎移植、人工流产>3次。结论增强妇女的孕前保健意识,提高孕产妇的定期产检率,特别是孕早期。及早筛查高危孕产妇进行干预,重点关注疤痕子宫、高龄、不良孕产史和妊娠合并症及并发症高危因素,减少不良妊娠结局,保障母婴安全,为二孩政策保驾护航。

Objective To understand the status of high-risk pregnancy under ＂two-child policy＂, and in order to provide reference basis for high-risk pregnancy management in the current situation of lacking obstetrics resources. Methods Descriptive statistics, One-Way ANOVA and Chi-squared test were used to analyze antenatal examination data between 2015 and 2016 derived from maternal and child information system of GuangDong province. Results The incidence of high-risk pregnancy was 39.15% in 2016, which grew by 14 percent than 2015, while the incidence of severe high-risk pregnancy was 30.67%, and the incidence of ordinary high-risk pregnancy was 8.48%. High-risk pregnancy distributed mainly in the second trimester. The top three factors of severe high-risk pregnancy were scar uterus, abnormal obstetric and multifetation. The top three factors of ordinary high-risk pregnancy were mother＇ s age 〈 18 years old or age-〉35 years old, embryo transplantation, abortion more than 3 times. Conclusion It is need to strengthen the consciousness of women＇s health care; improve the rate of regular antenatal care, particularly on early trimester; screening high-risk pregnant women early; focus on the factors of scar pregnancy, aged, abnormal obstetric and complications of pregnancy. And to ensure mother-infant safe, so as to reduce adverse pregnancy outcome and escort the two-child policy.