2012-2019年广西壮族自治区危重孕产妇医院监测结果分析

Surveillance for high risk-pregnant women in hospitals in Guangxi,2012-2019

目的了解2012—2019年广西壮族自治区(广西)危重孕产妇医院监测点住院孕产妇妊娠合并症或并发症、危重症发生及死亡的特点,以及在"二胎政策"施行前后变化趋势,为加强医疗机构产科建设、改进孕产期保健质量、保障母婴安全提供科学依据。方法根据《中国危重孕产妇医院监测方案》,利用国家危重孕产妇医院监测网络直报系统,分析2012—2019年广西21家危重孕产妇监测医院住院孕产妇个案中孕期保健、妊娠合并症或并发症、危重症和分娩等相关信息,采用描述性统计分析比较各年度变化及趋势。结果 2012—2019年广西21家危重孕产妇监测医院共有住院孕产妇565 852例,其中分娩533 293例,平均住院年龄呈逐年增大趋势,高龄产妇、经产妇、妊娠合并症或并发症以及危重孕产妇占比逐年增高,孕产妇死亡指数逐年下降,危重症死亡比和严重孕产妇结局发生率呈波动性上升趋势,疤痕子宫发生率逐年上升。结论广西高龄、经产、疤痕子宫、妊娠合并症或并发症发生上升,产科质量需要提升。因此需要加强产科建设,提高孕产期保健质量,保障母婴安全。

Objective To understand the characteristics of incidences of pregnancy related complications, critical illness and deaths in pregnant women hospitalized in high risk-pregnant women surveillance hospitals in Guangxi from 2012 to 2019 and the changes before and after the implementation of the two child policy, and provide evidence to strengthen the construction of obstetrics department, improve perinatal care quality and protect pregnant women and newborns. Methods According to"National protocol of hospital surveillance for high risk-pregnant women", the descriptive and statistical analyses were conducted on the incidence data of pregnancy related complications, critical illness and the information about perinatal care and delivery in 21 high risk-pregnant women surveillance hospitals in Guangxi from 2012 to 2019, which were collected from national hospital surveillance system of high risk-pregnant women. Results From 2012 to 2019, a total of 565 852 pregnant women were hospitalized in 21 high risk-pregnant women surveillance hospitals in Guangxi, in whom 533 293 were delivered of babies. The average age of hospitalized pregnant women increased year by year, and the proportions of older pregnant women, multipara, and the pregnant women affected by pregnancy related complications and critically illness increased year by year. Maternal mortality index decreased year by year, the death rate of critical illness and the incidence rate of severe maternal outcomes increased variably, and the incidence rate of scar uterus increased year by year. Conclusion The proportions of older pregnant women and multipara and the incidences of scar uterus and pregnancy related complications increased with year in Guangxi. It is necessary to strengthen the construction of obstetrics department and improve perinatal care quality to protect pregnant women and newborns.