宫内转诊高危妊娠孕产妇风险管理及临床效果研究

Risk management and clinical effect of intrauterine referral for high-risk pregnant women

目的针对宫内转诊高危妊娠孕产妇实施产房风险管理,并分析其临床应用效果。方法选取某中心2019年6月至2020年9月产房接收的宫内转诊高危妊娠孕产妇68例为对照组,给予常规管理,2020年10月至2021年12月孕产妇68例为观察组,给予风险评估,按照不同风险等级实施风险管理,比较两组孕产妇分娩结局和产后抑郁发生情况。结果观察组孕产妇阴道分娩率91.18%高于对照组73.53%,降低了中转剖宫产发生率;观察组产后出血率8.82%、新生儿窒息率4.41%,分别低于对照组22.06%、14.71%,观察组新生儿七日存活率98.53%高于对照组88.24%(P<0.05);观察组爱丁堡产后抑郁量表总评分(4.80±1.36)分,低于对照组(7.07±2.00)分,差异均具有统计学意义(P<0.01)。结论对宫内转诊高危妊娠孕产妇实施产房风险管理,可以显著降低母儿不良妊娠结局的发生率,改善产妇抑郁状态。

Objective To implement delivery room risk management for intrauterine referral high-risk pregnant women,and analyze its clinical application effect.Methods A total of 68 pregnant women with high-risk pregnancy who were admitted to the delivery room from June 2019 to September 2020 were selected as the control group and given routine management,and 68 pregnant women from October 2020 to December 2021 were selected as the observation group and given risk assessment.Risk management was implemented according to different risk levels.The outcomes of delivery and postpartum depression were compared between the two groups.Results The vaginal delivery rate of 91.18%in the observation group was higher than that of 73.53%in the control group,which reduced the probability of vaginal conversion to cesarean section.The postpartum hemorrhage rate of 8.82%and neonatal asphyxia rate of 4.41%in the observation group were lower than those of 22.06%and 14.71%in the control group,respectively.The seven-day neonatal survival rate of 98.53%was higher than that of 88.24%(P<0.05)in the control group.The total score of Edinburgh Postpartum Depression Scale was(4.80±1.36)in the observation group was lower than that of(7.07±2.00)in the control group,and the differences between the two groups had statistical significance(P<0.01).Conclusion The implementation of risk management in delivery room for pregnant women with high-risk pregnancy in intrauterine referral can significantly reduce the incidence of maternal and infant adverse pregnancy outcomes and improve maternal depression.