709例高危妊娠情况分析

A retrospective analysis of 709 cases with high risk pregnancy

目的总结高危妊娠的系统化管理经验,使其进一步规范化,降低孕产妇死亡率和围产儿死亡率。方法按照新疆维吾尔自治区卫生计生委妇幼健康服务处、新疆维吾尔自治区妇幼保健中心制定的《高危孕产妇评分标准》对资料进行分类、复核。对2015年1月-12月乌鲁木齐市妇幼保健院产前检查建档的2223例孕产妇进行高危妊娠筛查。结果筛查出高危妊娠孕妇709例,高危妊娠筛查率31.89%,前10位顺位为体重<40 kg或>80 kg、瘢痕子宫、高龄、妊娠合并内科疾病、流产≥2次、试管婴儿、不良孕产史、巨大儿、双胎或多胎、妊娠高血压疾病。筛查出709例高危妊娠孕妇,其中649例系统管理至分娩,高危妊娠管理率及住院分娩率达到91.54%。结论加强和完善妊娠高危因素筛查和管理工作,对妊娠期因某种因素可能威胁孕妇健康甚至生命者进行及时有效的筛查及管理,可以有效降低妊娠不良结局及孕产妇死亡率和围产儿死亡率。

Objective To summarize the experience of management about high-risk pregnancy, and to give more scientific, standard and normative measures in order to prevent pregnancy diseases and to decrease maternal mortality rate and perinatal mortality rate.Methods According to high-risk pregnancy grading standards given by the center of maternity and child health services and health and family planning commission of Xinjiang, 2223 cases of puerpera with high-risk pregnancy who were examined in the child health care hospital of Urumqi from January to December in 2015 were screened. Results Screening high-risk pregnancy were 709 cases, the screening rate was 31.89%. The top ten high-risk pregnancy had relationship with body weight 40 kg or 80 kg, scar uterus, older age,pregnancy with internal medicine disease, abortion twice or more, test-tube baby, bad pregnant history, larger infant, gestational diabetes mellitus. Among 709 cases of high-risk pregnancy, 649 cases were supervised until childbirth. Administration rate of high-risk pregnancy and delivering rate in hospital were 91.54%. Conclusion It is important for high-risk pregnant patients to screen and manage more systematically, which can help us to find some risk factors that could threaten delivery woman＇s health and even their lives, eventually,which can effectively reduce the adverse pregnancy outcomes, and maternal mortality and perinatal mortality rate.