高危孕产妇的高危因素与妊娠结局分析

Analysis of high risk factors and pregnancy outcomes of high risk pregnant women

目的探讨高危孕产妇的高危因素与妊娠结局,分析实施高危孕产妇管理的意义。方法试验组选择485例我中心随访的高危孕产妇,参照组选取同期普通孕产妇518例,总结高危孕产妇的高危因素,对比2组孕产妇妊娠结局。结果高危孕产妇主要高危因素有:剖宫产史、糖尿病、年龄>35周岁、人流>2次、孕晚期胎位异常、体重>85 kg、妊娠期高血压疾病、早产史、甲状腺功能异常等,其中,剖宫产史、糖尿病、年龄>35周岁、人流>2次、孕晚期胎位异常发生比例较高,分别为36.70%,31.55%,20.00%,9.69%,8.04%。试验组宫内窘迫、子宫破裂、产后出血、胎盘早剥、严重感染、剖宫产等不良妊娠结局发生率与参照组相比较高,组间可见明显差异性(P<0.05)。结论高危孕产妇的高危因素较多,对产妇与围生儿生命安全产生威胁,应做好高危孕产妇管理工作,以便改善其妊娠结局。

Objective To study the nursing effect of high-risk pregnant women.Methods The experimental group selected 485 high-risk pregnant women admitted to our center,the reference group selected 518 normal pregnant women in the same period.Results The main high-risk factors of high-risk primiparas are:cesarean section history,diabetes mellitus,age>35 years old,abortion>2 times,abnormal fetal position in late pregnancy,weight>85 kg,hypertensive disorder complicating pregnancy,premature delivery history,thyroid dysfunction,etc.Among them,cesarean section history,diabetes mellitus,age>35 years old,abortion>2 times,abnormal fetal position in late pregnancy have a higher incidence rate,36.70%,31.55%,20.00%,9.69%,8.04%respectively.The incidence of adverse pregnancy outcomes such as intrauterine distress,uterine rupture,postpartum hemorrhage,placental abruption,severe infection and cesarean delivery in the experimental group was higher than that in the control group,with obvious differences between the groups(P<0.05).Conclusion There are many high-risk factors for high-risk pregnant women,which threaten the life safety of pregnant women and perinatal infants.The management of high-risk pregnant women should be done well in order to improve their pregnancy outcomes.