产科门诊高危孕产妇的高危因素分析

High-risk factors analysis of high risk pregnant women in obstetric clinic

目的 分析产科门诊高危孕产妇的高危因素。方法 选取医院妇产科2020年1月1日至2020年11月门诊接诊的1635例高危孕产妇,通过回顾孕产妇的资料,分析其高危因素。结果 高危孕产妇一般风险高危因素中孕妇基本情况占据55.21%,异常分娩史占据16.24%,妊娠合并症占据22.61%,妊娠并发症占据0.65%,其他占据5.26%,而较高风险因素中高龄占据24.72%,肥胖占据48.89%,2次子宫手术史占据10.49%,内科合并症占据12.01%,其他因素占据3.86%;常见的分娩结果主要是顺产、剖宫产、新生儿窒息和围生儿死亡。结论 面对引发产科门诊孕产妇高危的众多因素,临床相关人员要注重高危因素的早期筛查,并运用针对性的方案减少孕产妇的高危风险,为其成功分娩提供保障。

Objective To analyze the high-risk factors of high-risk pregnant women in obstetric clinic. Methods 1635 highrisk pregnant women were selected from the outpatient department of Obstetrics and gynecology from January 1, 2020 to November 2020. The high-risk factors were analyzed by reviewing the data of pregnant women. Results Among the general risk factors of high-risk pregnant women, the basic situation of pregnant women accounted for 55.21%, the history of abnormal delivery accounted for 16.24%, pregnancy complications accounted for 22.61%, pregnancy complications accounted for 0.65%, and others accounted for 5.26%, while among the higher risk factors, the old age accounted for 24.72%, obesity accounted for 48.89%, the history of two uterine operations accounted for 10.49%, medical complications accounted for 12.01%, and other factors accounted for 3.86%;The common delivery outcomes were spontaneous labor, cesarean section, neonatal asphyxia and perinatal death. Conclusion In the face of many high-risk factors of pregnant and lying in women in obstetric clinics, clinical relevant personnel should pay attention to early screening of high-risk factors, and use targeted programs to reduce the high-risk risks of pregnant and lying in women, so as to provide guarantee for their successful delivery.