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目的分析低龄孕妇的高危因素,降低低龄孕妇的妊娠分娩风险及高危妊娠发生率,提高孕产妇系统管理质量,有效保证母婴安全。方法选取2009年10月1日-2014年9月30日分娩的273例低龄孕妇,对其高危因素进行分析和探讨。结果高危妊娠筛选率为90.12%。高危因素前8位依次为:年龄<18岁,妊娠合并症(妊娠合并贫血、妊娠合并病毒性肝炎、妊娠合并生殖道感染),产前检查<3次,身高≤145 cm,羊水过少,胎位不正,胎儿生长受限,瘢痕子宫。结论应重视对低龄孕妇的统计管理,做好生殖健康知识的宣教,采取一系列干预措施,及时发现、筛选、追踪并管理低龄孕妇,防治并发症的发生,从而有效控制低龄孕产妇及围产儿死亡率,更好地做好孕产妇及围产儿的系统管理。
Objective To analyze the risk factors of pregnant women at a younger age, reduce the risk of pregnancy and childbirth and the incidence of high-risk pregnancies in young pregnant women, and improve the quality of system management of pregnant women and maternity and ensure the safety of mother and infant effectively. Methods A total of 273 pregnant women of childbearing age who were delivered from October 1, 2009 to September 30, 2014 were selected and their risk factors were analyzed and discussed. Results The screening rate of high-risk pregnancy was 90.12%. The top 8 risk factors were as follows: age <18 years old, pregnancy complications (pregnancy with anemia, pregnancy complicated with viral hepatitis, pregnancy complicated with reproductive tract infection), prenatal examination <3 times, height ≤ 145 cm, oligohydramnios, Fetal position is not correct, fetal growth restriction, scar uterus. Conclusions Should pay attention to the statistical management of young pregnant women, do a good job of propaganda of reproductive health knowledge, take a series of interventions, timely detection, screening, tracking and management of pregnant women at a low age, prevention and treatment of complications, so as to effectively control young pregnant women and perinatals Mortality and better management of maternal and perinatal systems.